HolistiCare Empowers Agencies to:

Improve client outcomes through coordinated care management
Optimize clinical and financial performance
Reduce hospital readmissions and unnecessary ER visits
Strengthen family trust and satisfaction
Optimize clinical and financial performance for home care agencies
Financial performance optimization for home care providers by HolistiCare
Reduce hospital readmissions and unnecessary ER visits for seniors
HolistiCare representing whole-person care management

HolistiCare Empowers Agencies to:

Optimize clinical and financial performance for home care agencies Improve client outcomes through coordinated care management
Financial performance optimization for home care providers by HolistiCare Optimize clinical and financial performance
Reduce hospital readmissions and unnecessary ER visits for seniors Reduce hospital readmissions and unnecessary ER visits
HolistiCare representing whole-person care management Strengthen family trust and satisfaction

Frequently Asked Questions

What make us different?

Care management is often clinical-focused, or more of a general oversight of benefits and services, but not both. Enter HolistiCare – distinguished by our whole-person philosophy, which proactively addresses physical, behavioral, and emotional health while providing personalized, complete support from start to finish in the home setting. With this “whole-person” approach to care management, we uniquely empower individuals with complex health needs to maintain independence and quality of life at home.

What services are provided?

Our compassionate care managers meet with member individuals during wellness visits – to check in and identify any potential gaps in care. During and in-between visits they assist with various needs including transportation, medications, nutrition, medical supplies, housing, and emotional support. They additionally coordinate various services such as physical and occupational therapies. Our broad-based platform serves as an invaluable tool to support social health-related needs and chronic conditions.

What conditions are most commonly addressed?

We're experts in identifying and helping to close “gaps in care”. These can center around food insecurity, cognitive decline, anxiety from loneliness, lack of medication adherence, missing medical supplies, and problems with transportation—to name a few. The most common chronic conditions we address via coordinated services include CHF (congestive heart failure), COPD (chronic obstructive pulmonary disease), diabetes, hypertension, Alzheimer’s/dementia, arthritis, and cancer.

Who qualifies for services?

Our services are suited to Medicare or Medicaid-eligible individuals who require health and social support services to maintain wellness and independence in their home and community settings. For CCM, individuals must receive a diagnosis of two or more chronic conditions for at least 12 months.

What makes for a successful partnership?

Simply put, the desire to further improve the wellbeing of your clients, via expanded health services. And one of the best parts is that we do most of the work. This includes virtual and in-person visits with your clients, expert care coordination, value-add health services delivery, strategic reporting, and more. The one key piece on your plate is initial outreach to your clients, and we've made this easy – given our shared marketing materials, suggested scripted messaging, and other resources. Outreach is often done by a member of your team during routine client check-ins by phone, introducing your new HolistiCare program and obtaining a simple verbal consent that we can follow-up with more information.

HolistiCare in Action

Group of 53 patients living with
diabetes and chronic health conditions

CHALLENGE:

Home care provider had been experiencing increasing rate of diabetic patients with 
repeat hospitalizations.

Patients showed challenges with medication adherence, hydration, follow-up appointments, health literacy, identification of warning signs, and fragmented communication between providers. 

Without proactive intervention, avoidable 
re-hospitalizations continued to impact patient outcomes, costs, and payer relationships.

HolistiCare Solution:

HolistiCare launched a comprehensive program combining clinical oversight, care navigation, social support services, and continuous patient engagement to address the underlying drivers of avoidable acute events.

The HolistiCare team provided:

  • Personalized care coordination
  • Regular wellness check-ins
  • Symptom escalation protocols
  • Monitoring of medication adherence
  • Education around warning signs & self-management
  • Transportation assistance
  • Family caregiver engagement
  • Coordinated communication between providers

Results (6 Month)

  • 50% reduction in diabetes-related hospital admissions
  • Improved appointment adherence
  • Improved medications adherence
  • Greater patient engagement & ongoing support
  • Increased patient confidence in self-management
  • More opportunities for preventative intervention

Our Partners

Ready to bring a more holistic offering to your clients?
Let’s build a stronger continuum of care together.