This patient-centered, physician-driven multispeciality network used data to improve transitional care management (TCM) outcomes and savings.

Summit Health launched a transitional care management (TCM) program almost a decade ago with just three nurse care managers. But as they increased their participation in risk-based payment models, the large physician-driven multispecialty network needed to assess whether additional investment in TCM could better support patients along their care journey and drive improved outcomes under value-based contracts.

Learn how Summit Health’s transitional care management achieved:

  • 5%–20% drop in readmission rate for patients with TCM
  • 15% increase in members with TCM retained within the Medicare ACO
  • $1.8 million in savings under value-based care models
  • $3 million fee-for-service revenue increase due to greater in-network retention

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