Care Coordination

Automated Care Coordination & Outreach

Stop reacting to sickness. We empower your care team to proactively monitor 100% of your population, closing care gaps and preventing readmissions without adding headcount.

Why traditional care management fails.

The Health Equity Gap.

Manual outreach often misses non-English speakers or those who work odd shifts. If your care management is "9-to-5 English only," you are leaving your most vulnerable populations behind.

Speak their language, on their time.

Deploy multilingual agents that can engage patients in Spanish, Cantonese, or Vietnamese at 7 PM, ensuring equitable access to care management.

The Post-Discharge Black Hole.

You discharge a patient, and they vanish for 30 days. If you don't catch a complication in the first 48 hours, they bounce back to the ER, costing you readmission penalties.

Touch every patient instantly.

AI agents can call 1,000 discharged patients simultaneously at 10:00 AM the next day. You get a prioritized list of the 50 who need help by 10:05 AM.

The "Top of License" Problem.

Your most expensive clinical resources (RNs) are spending 6 hours a day leaving voicemails and asking, "Did you take your pill?" This burns out staff and wastes budget.

Automate the routine.

Let AI agents handle the repetitive "welfare checks" and assessment questions. Only escalate the call to a human nurse when a patient reports a symptom or risk.

Safety at scale.

Clinical Safety Guardrails

The AI follows your specific Schmitt-Thompson or custom triage protocols. If a patient says "Chest Pain," the agent stops the script and hot-transfers to a live nurse immediately.

Registry-Driven Outreach

We ingest lists directly from your Pop Health platform (Epic Healthy Planet, Cerner HealtheIntent). As soon as a patient hits a risk score, the AI activates.

Gap Closure Engine

Don't just identify that a patient needs a mammogram; book it. The agent calls the patient, explains the importance, and writes the appointment into the schedule in one interaction.

Longitudinal Monitoring

For CCM reimbursement, the AI conducts the monthly 20-minute check-in, gathering vitals and symptom updates, and documenting them for billing.

Safety at scale.

Calculate Your Potential Savings

Automate routine calls while seamlessly escalating complex issues to live staff

Calculate ROI

Let’s talk about how ActiumHealth can support your care teams

Interested in learning how ActiumHealth can automate your call center with AI agents and see a custom demo? Let’s talk!

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