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Oncology Care Management
Our oncology care model targets gaps in care related to treatment and patient management. Lack of coordination during critical phases of the cancer journey can create serious consequences. We work with patients throughout the entirety of their journey, including prevention, screening, diagnosis, treatment, survivorship, and end-of-life care. Care plan components are tracked with over 150 reportable outcome measures to provide concrete evidence of members’ care trajectories and demonstrate the value of care management.
Community-embedded care management extends past the walls of the practice into the community to give a holistic a view of the patient in-between visits. Our care team also acts as a safety net for the patient and their family by providing proactive side effect management, treatment and medication adherence, patient advocacy, survivorship resources, service coordination, and establishing open communication and referrals with the oncology care team.
Some elements of the program include:
Patient stratification through our intriCare software
Oncology care management expertise
Identification of barriers to care, gaps and red flags
Community-embedded, team approach
Education on navigating the healthcare system
Proactive side effect management
NCCN guidelines compliance
42% Reduction in ER visits
52% Decrease in hospital admits
95% Engagement rate
Guide patients throughout the entire cancer journey.