The gap impact
The Care Gap significantly impacts patients, clinicians, payors, and hospitals. Each encounters difficulties and frustrations in the Gap that can be solved with thoughtful and data-driven interventions.
Without care in the gap
Patients
• Continuing improvement
• Prescriptions to fill
• Finding a primary care physician
• Scheduling a timely follow-up
• Engaging in follow-up care
Clinicians
• Increased demand and stress in the ED
• Unsolvable situations where patients have no new solutions after a second visit
• Decreased patient trust, more frustration, and less satisfaction
Hospitals and Health Systems
• Cost of repeat visits
• Decreased patient satisfaction
• Complex post-acute care coordination
• Increased readmission mortality rates
Payors
• High cost of post-acute care
• Cost of avoidable ED visits and hospitalizations
• Lack of networks and infrastructure for care coordination
With Care in the Gap
Patients
• Better outcomes
• Follow-up support for questions and concerns
• New relationships with primary care physician
• Timely follow-up care
Clinicians
• Better care for patients after an ED encounter
• Reduce unnecessary ED visits
• Keep clinicians out of unsolvable situations; empower solutions
• Decreased risk
• Increased ED capacity, better use of resources
Hospitals and Health Systems
• Improve quality of care across the care continuum
• Retain and gain new market share
• Increase patient satisfaction
• Better performance in value-based models
Payors
• Increased member satisfaction
• Gain competitive advantage by empowering members to navigate effectively
• Decreased cost
• Better performance in value-based models of care
