Our Approach

KEEPING IT CLOSE TO HOME

Team members live in the communities we serve and often have lived experience with the very challenges they now help others overcome. They may be former addicts, previously incarcerated persons or those who have experienced homelessness. This seasoned, boots-on-the-ground approach allows us to forge genuine connections with each high-utilizer, increasing the chances of compliance and success.

Here’s how our direct patient engagement looks:

INITIAL CONTACT

• Track down each high-utilizer and meet them face-to-face
• Conduct a personal assessment with advanced screening tools
• Identify and prioritize their unique needs and challenges
• Activate necessary coordinators, PCPs and specialists for those issues

CONTINUAL CONTACT

• Coordinate appropriate resources for each high-utilizer
• Attend any necessary appointments with them
• Continually monitor progress through phone and video calls
• Hold group meetings with care providers

CRISIS AVAILABILITY

• Resources are available 24/7/365
• Immediate Access Fund addresses needs in real-time
• Follow-ups are conducted after each encounter

RESULTS

Our commitment to going straight to the source ultimately helps us improve outcomes, direct better choices and minimize social service overuse. That means your systems reap the financial benefits – we typically provide at least a 3:1 return on your initial investment!