Over 25 years of experience providing an additional layer of care for your members who need it most.
We work together with patients, caregivers, providers, health plans and other organizations to identify and address barriers to care to improve quality of life and reducing costs.Partner with us today
Why Our Programs Work
Gain better insights
We identify and address access to care, socioeconomic status and physical environment barriers and use this information to identify potential candidates for programs while closing gaps in care.
Complete member support
We offer integrated care with 24/7 telephonic support for members who require additional monitoring.
Our programs and services help reduce unnecessary hospital admissions, emergency room visits and readmissions.
Programs we offer
Our in-home program increases the completion of health assessments and wellness exams. Our health care providers act as an extension of care in the home where they can identify gaps in care.
By visiting members in their homes, we gain deeper insight into the environmental and social issues affecting their health. Our team of clinicians work collaboratively with you to capture appropriate documentation and our in-house, certified coding team performs chart reviews for all visits.
Health Assessment Services
Assessments for Medicare Advantage, Medicaid, marketplace and commercial health plans.
- Hemogloblin A1c screening
- Cholesterol (LDL-C) screening
- Lead screening
- Nephropathy (urine microalbumin) screening
- Fecal immunochemical test (FIT) for colorectal cancer screening
- Body mass index (BMI)
- Bone destiny scans
- Diabetic retinal eye scans
- Blood pressure
- Fall risk assessment
- ADL and iADL assessment
- Pain screen
- Nutrition counseling
- Urinary incontinence counseling
- Advance directives discussion
- Medication reconciliation
- Depression screening
Improve care coordination and reduce readmissions
Our Transition of Care Program provides the opportunity to extend care into the home by supporting members after a recent hospital visit. We help members who have been admitted to the hospital and have a strong likelihood of a hospital readmission based on diagnosis, co-morbidities and functional health status.
For at-risk members, Alegis Care can deliver an in-home visit post-discharge from any acute, observation, long-term acute care (LTAC) hospital or skilled nursing facility (SNF).
How our Transition of Care Program works
Our clinicians work directly with your member's PCP to ensure care coordination needs are addressed to help keep members safe in their homes and out of the hospital.
Once Alegis Care is notified that a member has been discharged from the hospital, we work on your behalf to assist at-risk members.
We offer two types of chronic condition programs.
- Chronic Care Management (CCM) - We act as the member's PCP
- Complex Care Program (CCP) - Member has an in-office PCP, and we augment their chronic care plan in the home
How our Chronic Condition Programs work
We work with you to identify members that require additional in-home care for their chronic conditions. Our team identifies any possible health and social issues to develop an appropriate plan.
Our health care providers and nurses live in the communities they serve and have developed relationships with additional key health resources, such as:
- Diagnostic labs
- Home health agencies
- Social agencies
Our Advanced Care Program is an additional level of support for those in the advanced staged of an illness.
Advanced Care Program Goals
We work hard to fully understand and respect the different physical, psychological, social, spiritual and cultural needs of every patient and work together to help your members and their families reach their desired goals.