At VirtuMedex, we understand that preventing avoidable hospitalizations is one of the most effective ways for health plans to reduce costs, improve patient outcomes, and enhance overall healthcare efficiency. By integrating proactive, technology-driven remote care solutions, we help health plans achieve significant savings while ensuring members receive timely, high-quality medical care in the comfort of their own homes.
Key Benefits for Health Plans:
- Significant Cost Savings – Avoidable hospitalizations and ER visits cost health plans millions annually. Our Remote Patient Monitoring (RPM), Chronic Care Management (CCM), Transitional Care Management (TCM) and timely Telehealth services provide early intervention, reducing unnecessary admissions and costly inpatient stays.
- Improved Member Health & Reduced Readmissions – Our proactive monitoring, real-time interventions, and personalized care coordination help patients manage chronic conditions before complications arise, leading to fewer emergency visits and lower readmission rates.
- Better Compliance & Care Coordination – We work seamlessly with health plans, providers, and care teams to ensure patients follow their care plans, adhere to prescribed medications, and receive timely follow-ups—all of which contribute to lower healthcare costs and better long-term health outcomes.
- Enhanced Member Satisfaction & Retention – Our virtual and in-home care solutions provide members with convenient access to quality care, reducing frustration, improving engagement, and increasing overall satisfaction with their health plan.
- Value-Based Care & Risk Reduction – By shifting from reactive to preventive care, we help health plans align with value-based care models, reducing financial risk associated with unmanaged chronic conditions and high-cost acute care episodes.
By partnering with VirtuMedex, health plans can achieve measurable cost savings, improve patient health outcomes, and deliver a superior healthcare experience—without the financial burden of preventable hospitalizations. Let’s work together to transform care, reduce costs, and drive better health outcomes for your members.
About Health Plans
VirtuMedex partners with health plans and care-management organizations to provide physician-led virtual care and ongoing support for eligible members with chronic, complex, or post-acute healthcare needs.
Programs may include CCM, RPM, TCM, behavioral health support, telehealth, and care coordination.
Yes. VirtuMedex can support eligible members who require additional clinical monitoring, chronic disease management, post-discharge follow-up, or coordination between multiple healthcare providers.
Eligible members may receive connected medical devices based on their clinical needs.
Health information collected through Remote Patient Monitoring can provide the clinical team with additional insight between traditional visits and support timely patient outreach when follow-up is appropriate.
Yes. VirtuMedex provides post-hospital and transitional care support that may include patient outreach, medication reconciliation, provider follow-up, care coordination, and monitoring when appropriate.
- Have multiple chronic conditions
- Experience frequent hospitalizations or emergency visits
- Recently transitioned from inpatient or post-acute care
- Need additional care-management support
- Have difficulty accessing traditional office-based care
- Need coordination across multiple providers and services
VirtuMedex can help identify and coordinate resources related to the patient's broader care needs, including transportation, home care, medical equipment, pharmacy needs, specialist follow-up, and other services when available and appropriate.
Yes. Partnership workflows can be structured around the plan's member population, eligibility criteria, referral process, clinical priorities, and reporting requirements.
Health plans can contact VirtuMedex to discuss population needs, target patient groups, referral pathways, clinical services, reporting requirements, and implementation.
Looking for a virtual-care partner for high-risk or chronically ill members?
VirtuMedex provides physician-led monitoring, care management, and post-acute support.
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Reduction in Hospital Readmissions
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Patients show measurable improvements in at least one monitored metric
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Patients Adhering to their prescribed medication regimen
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Average Cost savings Per Avoidable Hospitalization
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