Care Navigation
Care Navigation is Premise Health’s referral coordination solution that takes a hands-on approach to helping members seamlessly navigate the healthcare system. Working alongside the primary care team, members receive support before, during, and after their visit when extra testing, treatment, or follow-up is needed.
We make better care the standard.
When members need specialty care, choosing the right location has a major impact on how much it will cost. Price and quality can vary significantly, even in-network within the same market. Our care navigators use advanced cost and quality data, combined with a personalized approach, to guide our members to the right place at the right price, every time. This not only impacts their health outcomes but also reduces costs for members and organizations.
Concierge support throughout the care journey.
Data-driven referral matching
Hospitals may do everything, but that does not necessarily mean they are great at everything. The cost of a procedure may be five to 10 times more expensive across facilities in any given market – a variance driven by care setting, not quality. To solve this, our care navigators utilize best-in-class cost and quality data to guide members with referrals to only the highest-value providers and facilities. Ensuring members go to high-quality, cost-effective specialists and facilities ultimately pays dividends in savings for organizations.
Help before, during, and after
Navigating the healthcare system alone can be intimidating, not to mention the time commitment it takes to find a provider who is both reputable and affordable. Our care navigators are there to offer a guided experience for members throughout the entire process, whether they’re receiving care in-person at our facility, virtually, or in the community. Members benefit from integrated healthcare navigation services, coordinated treatment, and the peace of mind that comes with having a trusted advisor throughout their care journey.
Care navigation and advanced primary care.
Advanced primary care is an integrated healthcare model that focuses on delivering comprehensive and value-driven care that goes beyond routine check-ups. When paired with Care Navigation, primary care extends to specialty care by helping members keep their treatment plan on track. Our teams facilitate referrals, prevent care gaps, and provide continuous support throughout the entire member journey.
Learn more about advanced primary careOur Care Navigation offering includes:
- Data-driven referral matching
- Referral coordination, including prior authorizations
- Pre-appointment scheduling and reminders
- Post-appointment follow-up
- Member outreach via phone, email, and portal messages
- Concierge support
- Treatment coordination
- Medical record reconciliation