APLOS develops and operates High-Performance Provider Networks for Employers, TPA's, Insurance Carriers, Health Plans, IPA's, ACO's and other Payers. This model integrates healthcare data between Payers, Employers, Providers and care teams with high performance, high quality outcomes and cost savings initiatives. Our Providers focus on early detection, prevention, disease management, post-discharge programs to reduce readmissions, hospitalist programs, wellness programs, and much more. We are currently developing networks for Employers in California, and Texas!
Each APLOS Network is unique because it is focused on medical and business performance imperatives to improve the health status of the community, to integrate healthcare delivery, data, information, systems and medical records, to demonstrate value, improve efficiency of medical services, effective prevention programs, and to meet patient and community needs in a more prompt, appropriate and cost contained methodology.
The Aplos Direct Primary Care Network is an effective option for Employers to control their healthcare cost and improve their Employee health and clinical outcomes by paying their high-performance primary care providers per member per month with rewards for quality and healthy outcomes.
APLOS develops and manages Employer/Provider High Performance Provider Networks. This model integrates Employers, Providers and Care Teams with high performance, high quality outcomes and cost savings initiatives.
The APLOS Clinical Integration Technology provides secure, clinical integration between disparate healthcare stakeholders through a SaaS, cloud-based platform. The CIN module delivers core clinical functionality without redundant features that typically reside within meaningful use EMRs and Practice Management systems, such as ePrescribing, appointment scheduling and physician order entry
The Aplos Direct Primary Care Network is developed exclusively for each Employer. Providers are selected based on quality performance scores and they are paid per patient, per month on a subscription basis, which disincentivizes unnecessary care or lab work, while fee-for-service physicians make money for every test they run or procedure they perform. This prospective payment model that Medicare already uses and if each member is kept healthy with fewer dollars than was given, both sides benefit from the savings.
Our expert Insurance assessment teams at Capstone Management Group will guide you to new alternative risk, captives, reinsurance, stop-loss and tax-free supplemental benefits that will save your business significant money in total Insurance premiums. This savings will pay for your Employee whole health programs, Clinical Integration and High-Performance Provider Network.
Our partner Aspire Integrated Healthcare Solutions will conduct an analysis of your Employees health status using the iCare Analytics engine that provides real-time actionable patient insights that facilitate early interventions for high risk populations, provide personalized care notifications, and generate recommendations. This helps provide cost effective quality care and resulting shared savings. Send us your data and we do all the rest.
Our clinical expert partners will conduct a comprehensive whole person assessment (body, mental, lifestyle and social determinants) to establish an effective care plan with your Employees, our care teams, and the Providers. This data will show the status of the entire population to identify employee's at risk of current or future medical conditions so prevention or treatment can begin early.
Implementing a GAP benefit will pay for most or all of your Employee medical Out-Of-Pocket and deductible expenses which engages them to get the Healthcare services they need, and follow their custom treatment and wellness plans.
Healthcare today is based on acute, reactive care reimbursed under a Fee-for-Service model. Our care model both enhances and optimizes practices by focusing our resources specifically on personalized proactive care and coordinating the information with the primary providers.
Effective population health management requires a partnership between providers and payers, integrated data, connectivity powered by an agile IT system. Our enhanced care management model is critical to effective population health management (PHM) that increases quality, improves health and reduces costs.
Email us for more information! Phone (949) 625-4475