aplos high-performance networks

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 Aplos Provider Network is a high performance, clinically integrated healthcare provider network for Employers that is focused on 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 admissions, readmissions and much more. Our Providers deliver both lower costs and higher quality healthcare services through a patient-centered medical home model that is patient-centered, evidence-based, appropriate, and coordinated.  

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.

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.   

The American Academy of Family Physicians (AAFP) develops evidence-based clinical practice guidelines (CPGs), which serve as a framework for clinical decisions and supporting best practices. Clinical practice guidelines are statements that include recommendations intended to optimize patient care. They are informed by a systematic review of evidence, and an assessment of the benefits and harms of alternative care options. CPGs should follow a sound, transparent methodology to translate best evidence into clinical practice for improved patient outcomes. Additionally, evidence-based CPGs are a key aspect of patient-centered care. 

 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. 

 The Aplos Employer-Provider Direct Advanced Primary Care financing and delivery model provides an alternative to traditional FFS-based primary care models, and it greatly improves the patient-doctor relationship, reduces the fragmentation of patient care, and improves both personal and professional satisfaction for physicians. This alternative primary care arrangement generates systemwide reductions in health care utilization including hospitalization rates, emergency department usage, unnecessary radiology and diagnostic tests, and specialist care, leading to broad-based health care cost savings.  

 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. 

 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. 

  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. 

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. 

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. 

Quality measures are “tools that help us measure or quantify health care processes, outcomes, patient perceptions, and organizational structure and/or systems”. They may also be called performance measures. The American Academy of Family Physicians’ (AAFP) policy states the primary purpose of performance measurement should be to identify opportunities to improve patient care. View our full list of criteria of a performance measure.  Measures inform us about how the health care system is performing. Measures help identify weaknesses, prioritize opportunities, and can be used to identify what works and doesn’t work to drive improvement. Measures can also prevent the overuse, underuse, and misuse of health care services and can identify disparities in care delivery and outcomes. Measures are used for quality improvement, benchmarking, and accountability. Measures are becoming increasingly important relative to payment as the U.S. health care system shifts away from traditional fee-for-service toward payment focused on the value of care.

By increasing access to physicians and specialists, Telehealth can help ensure that Employee's receive the right care, at the right place, at the right time.  The total cost reduction is a result of decreasing unnecessary ER visits, physician visits and lowering hospital readmissions and lost work days.  Medical cost reductions range from 20%-40% by using Telehealth.

We have partnered with MDR Resources and  Argus Medical Management to offer our Providers a full-spectrum of Practice Management Services to improve your operations efficiencies: clinic start-up, operations management, RCM, billing, collections, Payer contracting, credentialing, EMR and more!

Aspire offers business healthcare consulting and MSO services for Providers, CIN's, IPA's and Health Systems.  Our expertise and focus is to improve our clients Population Health and quality performance outcomes. 

Our model offers Patient involvement in their healthcare solutions, wellness programs, health coaching, health risk assessments, care resources and incentives to prevent illness, injuries and improve clinical outcomes and lower absenteeism.  

We offer the Annual Wellness Visit program plus the Care Coordination and Population Health Management services that will help your Employee's understand the importance of disease prevention, early detection, and lifestyle modifications that support a healthier life and reduces the total Employer's medical cost by 5% or more. 

Our sister company Aspire Integrated Healthcare Solutions offers our Aplos Providers additional resources to support and enhance our Providers High-Performance for all the patients they serve.