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The Problem:

Your Care Management Stack Is Blind at 2am.

Value-based care programs are built around scheduled outreach, proactive risk stratification, and coordinated care management. They work. And they are completely blind at the exact moment most avoidable ED visits happen.

A high-risk member stands in their kitchen at 2am — uncertain, not sure if they need the hospital. Their care manager doesn't know. Their telehealth benefit requires a login. So they press their button — or call 911 — and that moment is where your ED spend lives. No tool in your care management stack owns it.

Avoidable ED visits and hospitalizations cost health plans $32 billion annually — and members pay up to 12x more for care that could be delivered in another setting. Every one of those visits started the same way: a moment of uncertainty with nowhere better to go. 

CareCompass™ closes that gap.

It's the clinical layer that sits on top of any PERS deployment — turning every button press into a real-time opportunity for a licensed nurse to assess the situation and route the member to the right level of care, whether that's a PCP, telehealth, urgent care, or EMS when it's truly needed. Instead of the ED becoming the default response to uncertainty, CareCompass™ makes sure it's the right response. 

A Smarter Response, Step by Step 

Most PERS calls don't require EMS — yet most programs treat everything as emergent. CareCompass™ routes every member to the right level of care from the very first response. 

1. Preliminary Screen

When a member presses their button, a response specialist immediately assesses whether the situation is emergent or urgent — routing every call to the right pathway from the start. 

2. Nurse Triage 

A licensed nurse joins the call, performs a clinical assessment informed by the member's risk trends and history, and determines the most appropriate intervention.

3. Clinically-Guided Routing 

Recommendations — PCP, telehealth, urgent care, SDoH support, caregiver assistance, or EMS — are routed based on your plan's protocols. 

4. Closed-Loop Follow-Up 

A follow-up confirms care instructions were followed and feeds triage data back to your care teams for proactive outreach. 


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39

%

Reduction in Avoidable ED Utilization
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6-9

%

6–9% Reduction in All-Cause ED Utilization
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2–3

x

2–3x ROI Starting Month 1

Demonstrated Results

Proven ROI, Backed by Real-World Data

These results come from a 10,000-member controlled interventional study across multiple health plans — with a human response in under 20 seconds, 24/7, and diversions directly attributable to CareCompass™, not modeled estimates.


Common Questions 

Questions health plans ask us.

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