The Beacon Health Network
focuses on customizing patient care for three populations: High-Risk Population, Rising-Risk Population, and Low-Risk Population. Each population requires different goal, resources, and care models. This proven team approach includes the patient engaging as an active and central participant in their care.
Our network providers and care coordinators deliver intensive, comprehensive, and proactive care. They trade high-cost acute care services for low-cost care coordination wherever and whenever it is clinically effective.
These patients have at least one complex illness, multiple comorbidities, and/or psychosocial problems. These patients do best with a one-on-one relationship with the health system, primarily with a nurse care coordinator. Their care team is led by a nurse care coordinator who partners with them in order to develop and support a comprehensive care plan.
Our goal is to prevent these patients from becoming high-risk. This population has multiple risk factors that if left unaddressed push them into high-risk. Health coaches identify these patients with underlying risk factors that can lead to a chronic disease and work with them to address areas like obesity, smoking, blood pressure, or cholesterol level.
Approximately 75 percent of patients fall into this category. They’re either healthy or have a well-managed chronic condition. These patients are looking for convenient access to the services they want most. Because of the limited relationship we have with this group, we build loyalty and trust with them so they turn to our primary care practices first (rather than emergency departments and walk-in clinics) by offering convenient access and alternatives.
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