High-Performance Provider Network
Our strategy gives Employers control over the healthcare delivery for their employees and retirees. The Aplos High-Performance Integrated Provider Network is a direct Employer-Provider Network for a lifetime collaboration that integrates Employers, Providers and care teams with high performance, high quality outcomes and cost savings initiatives. Our Providers and care teams focus on early detection, prevention, wellness programs, disease management, and post-discharge programs that reduce hospital readmissions and much more.
Our Providers deliver both lower costs and higher quality through care that is patient-centered, evidence-based, appropriate, and coordinated. Robust data-sharing and effective quality measurement play a critical role as well in identifying providers delivering quality care at a lower cost. Quality standards for our Networks are well-defined, rigorous, and derived from sufficient data in order to drive performance delivering quality outcomes and make a substantial impact on health care spending.
This study by Health System Tracker outlines the current market for employer strategies to reduce cost through a High-Performance Provider Network. The Aplos High-Performance Provider Network can reduce the Employer’s total annual medical cost spend by 20% or more.
Clinically Integrated
Our Clinically Integrated Network, Technology and analytics solutions improve the performance of our Provider and care teams by sharing patient medical information for a more efficient team approach to healthcare delivery, reducing duplication of health services, improving prompt healthcare delivery, reducing unnecessary hospital and other healthcare services.
Quality Performance Standards
Robust data-sharing and effective quality measurement play a critical role as well in identifying providers delivering quality care at a lower cost. Quality standards for our Networks are well-defined, rigorous, and derived from sufficient data in order to drive performance delivering quality outcomes and make a substantial impact on health care spending.
Employer Direct Provider (Primary Care, Specialist)
The Aplos Employer Direct Provider contract option reduces unnecessary healthcare services over 12%, ER visit reduction over 40%, and Hospital admissions by 20% or more. Our Primary Care Providers are clinically integrated, High-Performance, Patient Centered Medical Home's with our full spectrum of Population Health and Care teams that improve member's health, clinical outcomes and higher quality measures while reducing cost.
Technology Solutions
With more than 30 years’ experience in clinical quality improvement and cost savings, we have the strategic advisory expertise, healthcare analytical capabilities and operational experience to help our clients determine what insights they should derive from their analytics, what actions they should take to drive improvements, and how they should prioritize and plan for success. Our solutions include: clinical integration, health data analytics and modeling, provider and patient portals, virtual health and more.
Employee Whole-Care Model
Our care model both enhances and optimizes healthcare services by focusing our resources specifically on personalized proactive care and coordinating the information with Providers and Care Teams. We operate within our framework to manage our complete care responsibilities and then interface the meaningful data to our healthcare partners to provide the most current clinical data and trending information for action.
Population Health Management
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.
Employee & Patient Portals
Let our Wellness Portal be the one stop solution for your employees to engage in their wellness program. From personalized incentive management and tracking, fitness device integration, health and mental wellbeing assessments, employee risk strategy, to e-learning with health coaching; our wellness portal provides your employees with a comprehensive, user-friendly interface and mobile app to track their success throughout their wellness program.
Care Navigators
Our care navigators are patient advocates that specialize in understanding social determinants of health and how they impact the compliance of care plans. By listening to the patient and understanding their issues and concerns, our care navigators can help set doctors appointments, transportation, secure DME, connect to local senior services or find vendors to help them as needed.
Employee Health Education
We offer free Employee Health Education seminars by Beta Foundation to help Employee's to better manage and avoid Chronic Diseases for the whole family!
Occupational Health
The APLOS High-Performance Provider Network is available for Employer's Occupational Health and Workers Compensation programs. The 24 hour coverage model has proven to lower cost and improve outcomes for Employers.
Employer Benefit Solutions!
Our expert Insurance assessment teams at will guide you to new alternative risk, captives, reinsurance, and stop-loss services that will save your business significant money in total Insurance premiums which will pay for your Employee whole health programs, Clinical Integration and High-Performance Provider Network.
Employee Health Status Analysis
Our partner myCatalyst offers an 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.
Employee Health Risk Assessment
Precision medicine is only possible when there is a complete picture of a patient's health, including medical decisions, treatments, practices, and products so healthcare can be customized for each individual. 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.