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PROGRAMS & SERVICES

The Game

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STEP 1

MCO and/or Primary Care Physician identifies complex, high-risk members that could benefit from the PCHP Model

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STEP 2

Referrals are made to GroundGame Health™ IT system and then transferred to the appropriate community-based partner

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STEP 3

Engage MCO members through systematic outreach; accomplish in-

home assessment and gap analysis; where appropriate, make local referrals

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STEP 4

Report findings to MCO through IT system and/or direct communication with Care Managers

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STEP 5

Reduce spend and improve outcomes of care

RESULTS

PCHP has consistently driven down healthcare spending

30%

IN URBAN AREAS

40%

IN RURAL AREAS