Integrated Care Coordination
Our integrated care coordination model promotes increased communication and collaboration between care settings for patients. We use technology and people to reach out to and engage PCPs, hospitals, pharmacies, home health, and caregivers to ensure that patient information is readily available and updated as care levels and care settings change. Our NFists, who are dedicated physicians, are an important and unique part of our integrated care coordination model. NFists work in close collaboration with our Advanced Nurse Practitioners, who act as care navigators for patients across the care settings.
Some of the most vulnerable patients travel through post-acute facilities or receive some type of long-term care—AllyAlign Health makes sure that these complex patients don’t fall through the cracks during transitions or become victims of multiple, disjointed care efforts.