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Powering, Empowering Value-Based Care®

ConcertoHealth is a field-based, complex care provider organization. We partner with health plans and healthcare delivery systems to care for America's most vulnerable patients.

41%

Reduction in Hospital Admissions

40%

Reduction in Hospital Readmissions

38%

Increase in Annual Wellness Visits

14%

Reduction in ER Visits

ConcertoHealth is a risk-bearing provider group that delivers high touch, individualized field-based care to persistently high cost and at-risk populations. ConcertoHealth multidisciplinary team members “meet patients where they are, and when they need us the most”, whether in their home or the hospital. ConcertoHealth continually analyzes patient data and monitors hospital admission and discharge feeds to determine the appropriate level of intervention for each patient. Rather than simply creating a care plan that encourages and refers patients to care, ConcertoHealth delivers care as a treating provider based on patient needs. These needs include addressing social determinants of health such as transportation and social isolation, cognitive impairment, behavioral health conditions, and palliative care.

The Foundation of Our Clinical Model

Comprehensive Patient Engagement
NCQA Utilization Management Accreditation

“Achieving NCQA Utilization Management Accreditation demonstrates that ConcertoHealth has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards.”

- Margaret E. O’Kane, President of NCQA.

About NCQA:
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more informed health care choices.

We believe

ConcertoHealth

Our greatest assets and keys to success are our People, Employees, and Family.
We believe that every individual in this organization can bring unique ideas and diverse ideas that bring us together as one.

Latest News

Concerto is leading the transition to value-based care by empowering primary care providers to improve the healthcare outcomes for vulnerable populations.

May 5, 2020
ConcertoHealth Launches Home-Based COVID-19 Testing and Treatment Program for Frail and Vulnerable Patients

Working With Local Health Departments, Program Includes In-Home Testing, Treatment and Post-Acute Care for the Frail and Vulnerable ALISO VIEJO, Calif., May 05, 2020 (GLOBE NEWSWIRE) -- ConcertoHealth®, the nation’s leading risk-bearing provider of in-home, field-based complex care for high-cost and rising-risk populations, today announced it is working with ...

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April 29, 2020
“Spotlight on Innovation: The Response to COVID-19” Shows How Medicare Advantage Plans, Providers, and Community Partners Solve Problems and Deliver Care in Uncertain Times

Washington, D.C. – Better Medicare Alliance (BMA), the leading research and advocacy organization supporting Medicare Advantage, today released its new report entitled “Spotlight on Innovation: The Response to COVID-19." The report profiles 18 BMA Ally organizations to offer a first-of-its-kind look at the Medicare Advantage community’s handling of the ...

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