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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Spiras Care
Spiras Care

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Categories

Solutions

Description

Product Description:

Spiras Health is the premier next generation care management organization delivering nurse practitioner led in-home specialty care, utilizing predictive analytics and employing smart use of technology for members with advanced chronic conditions, specifically COPD and CHF made more complicated by co-morbidities and SDoH. The Spiras Health Solution combines monthly in-home services, telehealth, 2-way digital communications, and remote monitoring longitudinally. By treating patients with a whole-person approach through multiple modalities, developing clinician/patient relationships, and extending specialty services such as pulmonology, cardiology and palliative care into the home, Spiras Health is able to support adherence to treatment plan, coordinate care, communicate and collaborate with PCP/SCP and other care team members. The results are enhanced quality of life, improved patient/provider satisfaction, total cost of care reduction, and increased communication, coordination and collaboration among care team, patient, caregivers and community and referral back into a health system's ecosystem for continuity.

About Spiras Health:

Spiras Health, headquartered in Brentwood, TN, provides longitudinal care services to complex, chronically ill patients, specifically COPD and CHF. The Spiras Health approach combines home-based services, telehealth, 2-way digital communications, and remote monitoring. This multi-modal approach allows the patient access to care, regardless of situational complexities, in the mode that suits their preferences, needs, and risk. This also provides ongoing data, from a multitude of sources, to Spiras Health for accurate and efficient interventions. Spiras Health creates value to patients by improving quality of life and to health system/payor partners by reducing total cost of care by addressing avoidable costs and supporting quality metrics. Spiras Health utilizes/provides: 1. Multi-disciplinary team approach consisting of MDs, NPs, RRTs, RNs and community resources 2. Predictive modeling and machine learning to identify patients at highest risk for avoidable costs 3. Patient activation strategy for ongoing engagement, goal setting, treatment plan adherence, and behavior modification 4. Multi-modal approach to care delivery 5. Provider collaboration process to partner with patient's PCP and specialists, bridging care from physician office to home 6. Improved clinical and financial outcomes

Product Description:

CareSimple® is an easy-to-use, secure, and scalable way to offer Remote Patient Monitoring (RPM) to at-risk patient populations.

Including software, medical devices, connectivity, logistics and professional services, the CareSimple solution provides a turnkey solution that takes out the technical and operational complexities of RPM. CareSimple’s seamless patient-to-cloud-to-EHR data transmission, smart alerts, effective engagement, and automatic documentation capabilities enable nurses and care managers to focus on patient care, and give providers a holistic view of their patients’ health to help prevent costly readmissions and improve care.

CareSimple is used by providers to perform and claim:

  • CPT 99091 (RPM time performed by physician or qualified health professional)
  • CPT 99457 & 99458 (RPM time performed by clinical staff)
  • CPT 99453 & 99454 (RPM setup and device/s supply)
  • CPT 99490 & 99491 (Chronic Care Management)
  • Other services such as Transitional Care Management (TCM) and Principal Care Management (PCM)

CareSimple is a flexible condition-agnostic platform, built to support patients with hypertension, heart failure, diabetes, COPD and other chronic conditions.

About CareSimple:

CareSimple is a virtual care solutions provider for Remote Patient Monitoring (RPM), Transitional Care Management (TCM), Hospital in-The-Home (HTH), Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM) and Diabetes Self-Management (DSM). The CareSimple platform seamlessly integrates with electronic health records, such as Epic, allowing payers and providers to scale virtual care programs while ensuring no patient is left behind due to digital barriers. Founded in 2009 and based in Palm Beach Gardens, FL, CareSimple is HIPAA and GDPR compliant and operates under the rigor of its ISO 13485 Quality and ISO 27001 Security audited certifications

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Devices, questionnaires, manual entry and phone.

Threshold alerts, smart alerts, filtering and generative AI capabilities.

Built-in messaging and videocalling.

Multilingual and compliant with WCAG 2.1.

Most chronic conditions.

HL7, FHIR, SMART on FHIR and RESTful APIs.

Offered for all products and services.

Built-in content library and communication tools.

Use Cases

Description:

Spiras Health is generating significant savings to Medicare Advantage health plans. The unique model consists of the following:


1. Predictive analytics to identify the most appropriate members who will benefit from Spiras and who are at highest risk of incurring avoidable spend

2. Multi-modal approach to care delivery: nurse practitioner driven care, delivered in the member’s home through market-based RTs/nurses; augmented with smart use of technology in the form of tele-video conferencing, 2-way digital communication and remote patient monitoring

3. Provider and Health Plan care coordination and collaboration, closing the loop with community provider

4. Value creation through cost reduction in ER/hospital avoidance, revenue increase through member acquisition/retention, support of Star gaps closures and HCCs, quality metrics impact

Pediatric use cases:

None provided

Users:

Patients dealing with chronic illness, specifically COPD and CHF, with multi-morbidities and social determinants of health.


Medicare and Medicaid Health Plans and Direct Contracting Entities

Description:

Chronic care management including hypertension, heart failure, COPD, diabetes, kidney disease. Additionally, episodic events including cancer, pre-post surgery, COVID, sepsis.

Long term care management and short term transitions including post-discharge recovery, hospital-at-home, transitional care.

Fee-for-service reimbursed care models, value-based care models, ACO's, population health, health equity.

Pediatric use cases:

Our solution is designed to help with pediatric care monitoring such as diabetes, COVID, and primary care condition monitoring. We also have a maternity care monitoring program to improve care management for expectant mothers. 

Users:

Care management teams including RNs, LPNs, CNAs, medical assistants, diabetic educators, nutrition/diet experts, APRN specialists, licensed counselors, physicians.

EHR Integrations

Integrations:

Pop health platform, ADT

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Integrations:

Acute care EMR, Ambulatory EMR, Patient portal, Home health, ADT, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Athenahealth

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Other, Mobile / Tablet (native app)

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

Spiras Health is a next generation care management and care delivery provider bringing specialized services to members at home. Spiras focuses on members at highest risk of incurring avoidable spend due to unnecessary utilization of ER and hospital, primarily as a function of poor adherence to treatment plan and uncontrolled symptom exacerbations.


This solution begins by targeting patients with diseases of the heart and lungs (CHF/COPD) made more complicated by multiple co-morbidities and social determinants of health. However, care for all conditions is provided - with a whole-person approach.




Differentiators vs Competitors:

Spiras is distinguished by:

  • Predictive models that identify avoidable spend
  • Specialty care delivery - in-home with multi-modal use of technology
  • Longitudinal vs acute/episodic
  • Ability to take risk for specialty care


Differentiators vs EHR Functionality:

CareSimple solution is designed to work in harmony with the EHR and provide the automated monitoring and connectivity with the patient devices, while providing actionable data and alerting to patient conditions needing attention.

Differentiators vs Competitors:

Contact us for more information.

Keywords

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Company Details

Founded in 2015

Founded in 2009

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