Reducing Hospital Readmissions

Avoid hospital readmission penalties and improve HEDIS scores

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MD WellMed Health System

With the implementation of Care Coordination Manager and MemberMatch solutions, this health system has been able to decrease their ER admissions rate significantly to finally meet their goals.

Optimally and proactively manage your patients’ care while maximizing your value-based reimbursements.

Hospital readmissions and unnecessary ED visits can be disastrous for the patient. They also can be detrimental to provider quality scores and cause penalties against value-based reimbursements for health plans and providers.

With the adoption of value-based care models, reducing readmission rates and ED utilization has become one of the biggest challenges healthcare organizations now face. 

Both advanced IT strategies and progressive patient engagement strategies support proactive and real-time interventions that have a positive impact of readmission rates and unnecessary ED visits.

hospital readmissions statistic

Solutions to decrease your hospital readmission rates

Now you can leverage a deeper understanding of non-medical barriers to care that your patients face to better engage with them around their unique needs. Receive real-time alerts when your patient is admitted, discharged, or visits an ER to actively ensure the optimal care environment and transition of care. Manage health episodes and follow-up care proactively through communication channels serving both patient and provider community .


Enables risk-bearing organizations like ACOs, ESCOs and health plans to actively manage members’ high-cost clinical episodes through real-time, configurable ADT alerts to care team members to optimize the care environment and transitions of care.

Social Determinants of Health

Power your patient engagement strategy with a holistic view of patients, including non-medical attributes, and engage with your patients and members in meaningful ways that help prevent no-shows, encourage healthy habits and support positive health outcomes.

Care Coordination Manager

Rules-driven, closed- loop messaging platform that enables hospitals or other risk bearing entities, to share and assign care plan requests across a diverse provider community and to have visibility into plan compliance.

More resources

Your checklist for reducing hospital readmissions

Reduce hospital readmission rates through tech-driven care coordination

More care management blogs for continued education

How this health system reduced readmission rates to meet CMS requirements


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