Transitional Healthcare of America is a leading healthcare provider in Houston, TX, specializing in improving patient outcomes and reducing healthcare costs through a coordinated and connected care model. With a focus on patients with complex medical conditions and multiple co-morbidities, their physician-led interdisciplinary team provides 24/7 access to care, personalized care planning, and integrated telehealth options, enhancing the quality of life for patients and their caregivers.
By leveraging real-time population surveillance and data analysis, Transitional Healthcare of America identifies gaps in care and implements quality improvement measures, resulting in enhanced performance in HEDIS and Stars measures. With a significant portion of their patient population being dually eligible and meeting the criteria for seriously ill patients, the company effectively manages frequent unplanned hospitalizations and fragmented care, ensuring patients receive the appropriate level of care while living in the community.
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