The extent of control that employers have had over their health insurance plans, provider networks and healthcare services for their employees and injured workers have resulted in rising costs, poor outcomes, a high number of lost-work days, unhealthy employees, and dissatisfied employees and healthcare providers. The Aplos High-Performance Provider Network solutions solve each of these areas with the triple AIM that gives the employer and the employee direct control of their healthcare and well-being!
1. Our priority is to improve our member's health by providing prompt, proactive healthcare services from high-quality providers and care teams. We remove the unnecessary or duplicative care by sharing clinical information. We reduce unnecessary ER/hospital admissions or readmissions with our Whole Person Care program. We devote additional time to actions that target specific medical conditions and reduce waste throughout our network.
2. Our healthcare providers are partners in care, focused only on early detection and prevention of healthcare conditions, illness, disease, or injury. Aplos providers are high performers that are measured and reimbursed based on quality performance, healthy outcomes of our members and patient satisfaction.
3. We provide the technology and additional healthcare resources to our members to cover any gaps in care, integrate and collaborate the Care Teams with our members which engages them to achieve their optimal health and well-being
The APLOS High-Performance Provider Network is an efficient model that integrates Employers, Employees, Providers and Care Teams with high performance, high quality outcomes and cost savings initiatives. Each Network meet’s the ERISA/URAC network adequacy requirements (primary care, specialist, outpatient, inpatient hospital, surgical and ancillary providers). We manage the provider performance, quality outcomes and medical cost management for our Employer customers. We offer commercial, medicare, work comp and direct provider payer products.
Our Technology Solutions integrate healthcare and support the member and our providers for early detection of illness or disease, measure the populations health and provider performance, outcomes and identify opportunities to reduce cost and improve healthy outcomes for our members.
Our Population Health platform allows users to perform Health Management and Care Management Services, including Closing Gaps in Care, Transitional Care Management, and improving evidence-based guidelines. It includes its own aggregate data analytic tools with drill down to the patient and, if available, the provider level so users can evaluate program performance at all levels and take immediate action. It also houses eRefer, a referral management tool for clients who do that type of patient outreach. We do not do any patient outreach ourselves, but support those who do to get the best outcomes.
Contact us for more information and steps to join our Aplos Network!