ACO
Compliance

In partnership with private or public Accountable Care Organizations (ACOs), Shields Health Solutions provides comprehensive, integrated ACO management and support.

Value Based Care

The Shields compassionate, patient-first approach to patient care combines its Legendary Care™ service model with a state-of-the-art health IT infrastructure – including a date analytics-driven Patient Telemetry Center, which uses predictive modeling and mobile applications to help coordinate treatment for the highest risk patients. The combination of Legendary Care and the Patient Telemetry Center allows care teams to significantly reduce inefficient health spending and proactively reduce preventable health complications. Improving outcomes and reducing costs for defined patient populations.

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Medication Management

Medication Management

Medication non-adherence currently causes one out of every four hospital readmissions – with even greater incidence among chronic patients. Fragmentation of prescription management combined with increasingly complex drug regimens continues to exacerbate this already dire situation. Shields' pharmacy services team provides patients the tools and support to better manage their medication by delivering a customized, comprehensive and coordinated care plan for each specialty patient. Utilizing a team of pharmacists, pharmacy-technicians and disease-specific liaisons on the front end in combination with a fully-staffed Patient Service Center (including insurance administrators, financial counselors and inbound/outbound call center) on the back end, Shields provides unparalleled levels of service and vastly improved patient outcomes, lower readmission rates, and improved patient satisfaction all while decreasing costs.

Transitional Care Oversight

Transitional Care Oversight

Shields works in partnership with care providers and hospitals to help coordinate continuous and comprehensive care as patients transition between facilities and levels of care. Collaborating with experienced health care practitioners trained in chronic care, Shields' Care Navigators combine current information about the patient's goals, preferences, and clinical status to define a plan of care. From logistical arrangements and coordination among health professionals to education of the patient and family—Shields manages the complexity of transitional care.

Self Management Education

Self-Management Education

Providing patients with effective educational programs is vital in reducing hospitalizations and costs associated with long-term care. Shields effectively utilizes mobile educational and self-monitoring tools, care-giver engagement and community-based programs to enable patients to self-manage symptoms, engage in healthier life activities and collaborate with providers to reduce health declines.

Transitional Care Oversight

Coordinated Care Management

Shields takes a patient-centric focus to care coordination by developing a comprehensive plan that tailors an individual's needs and preferences to interdisciplinary health care and social support services. By integrating a patient's health plan across a range of settings from the home to ambulatory care to the hospital to post-acute care, Shields effectively manages risk, promotes wellness and enhances a patient's well-being while also driving down the cost of that care.

Predictive Modeling

Predictive Modeling

Shields leverages comprehensive predictive modeling capabilities to assess patients in need of targeted intervention. Once identified, predictive analytics can be used to determine best practices and areas of support

Mobile App

Mobile Application

Deployment of a mobile application to engage patients with their health goals and provide step-by-step guidance and human support. The mobile solution improves patient adherence to care plans and drives more enduring relationships between patients and care providers

Patient Outreach

Patient Outreach

Shields provides patient outreach services to educate patients and provide initial assessments. The patient outreach effort also yields important data to help direct the efforts of the health system. Shields monitors and tracks services, expenditures and claims in order to identify savings and opportunities.

Care Management

Care Management

Care navigators work with physicians, patients and caregivers to develop a personalized care plan for the highest risk patient population. As a primary point of contact for the patient, the case managers educate patients on healthcare options, assist with the coordination of care and seek to remove social barriers that impede the achievement of optimum health.

Contracting

Contracting

Shields back office team negotiates rates with providers and will help navigate the secondary payor market.

Integrated Pharmacy

Integrated Pharmacy Staff

Proactively work with patients on medication adherence and refill reminders. Pharmacy staff is also equipped to monitor and prevent adverse drug interactions and to provide in-sourced pharmacy functions.