Care between visits for health plan members
Hoss Care works with health plans to run follow-up care and care coordination for members, with quality measures and utilization tracked on the same record.
Where member care slips between the plan and the clinic.
Plans carry the cost and the quality score, while the care itself happens in clinics the plan cannot see into.
Members unreached after discharge
A member leaves the hospital, and nobody is sure who owns the first call.
In practiceThe plan's care manager and the member's clinic both assume the other one called.
Gaps chased at the deadline
Quality gaps are worked from a list in the final months of the year, when there is little time left to close them.
In practiceOutreach for overdue screenings starts in October, with the measurement year nearly over.
A network on different systems
Providers in your network run different EHRs, so what happened at the visit rarely reaches the plan in time.
In practiceA follow-up visit happened, but the plan learns about it from a claim weeks later.
Members who drift away
Members with long-term conditions go months without contact between visits.
In practiceA member's next contact with the plan is an emergency department visit.
One record between plan and clinic, and a clear next step for everyone.
Care managers, quality teams, network providers, and members each see their part. AI assistance suggests and flags; people decide.
- Care managers
Discharges assigned to an owner
Members leaving the hospital appear on one list, with the first call and the follow-up visit tracked to done.
- Quality teams
Gaps closed during care
Open gaps show up at the follow-up, not in a year-end push.
- Members
A person on the other end
Members check in from a simple app, and a person calls when something changes.
- Network providers
What happened at the visit, shared
Clinics in your network keep their EHR. Visit notes and care plans reach the plan's care team on the same record.
Shaped for every line of business on one platform.
Built for scale, security, and integration with your existing systems and provider networks, with follow-up and reporting in one place.
- Plans for older adults: quality measures, risk gaps, and wellness visits coordinated
- Managed care plans: high-risk members followed and social needs on the record
- Commercial plans: follow-up for long-term conditions, with employer reporting
- Member app for check-ins and messages
- Provider network integration, with any EHR
- HIPAA-compliant data exchange; SOC 2 Type I report on request under NDA
Care your members get between visits.
From the first call after a hospital stay to the yearly wellness visit, each service runs as a documented workflow on the same record.
- Care after a hospital stayA follow-up call soon after discharge, a visit on the calendar, and the handoff on one record from the first day home.
- Value-based careQuality measures, care gaps, and attribution tracked in the same record your team already works in.
- Annual wellness visitsThe yearly visit prepared for, risks flagged, and the gaps closed before the patient leaves.
- Follow-up care from homePatients check in from home between visits. Your team sees what changed, acts early, and the record is written as it happens.
Follow-up care your members actually receive. And every follow-up on the record.
Ready to improve member outcomes?
Health plans use Hoss Care to close gaps earlier, keep members in follow-up care, and see the results on the record.