Medicare Plans
Bridging the healthcare gap for the medically complex and chronically ill.
As a Medicare Advantage plan, you are looking for solutions to improve the quality of care to your most costly, high-risk patient population, while reducing costs and optimizing revenue.
That is where INSPIRIS can help.
INSPIRIS delivers solutions for the top 10% of your patient population that is driving the majority of your costs. Traditional disease management and telephonic care fall short in meeting the needs of this high-risk patient population. Although effective for the majority of the population, evidence shows that the medically complex require more focus and intervention to achieve clinical results.
Provider-Led Complex Care and Care Management.
INSPIRIS delivers hands-on, face-to-face care wherever the member resides, whether a residence, skilled nursing facility, assisted living center or other congregate housing. Managed by Nurse Practitioners and Physicians who are employees of INSPIRIS, this proactive, preventative approach to care accurately assesses risk and avoids crisis situations that require emergency room visits or hospitalization.
Proven Solutions with Dependable Outcomes.
INSPIRIS programs are customized to your needs and the needs of your members. Programs can range from the CarePlusSM program, which targets the top 5% of your membership that accounts for 50% of the medical spend, to their Assessments program, which helps to provide full risk coding assessments or MIPPAA Assessments, to the Transitions program, which is designated to assist those members being discharged from a hospital or acute facility.