Business overview

Signify Health is building a multi-payor enablement platform to help connect payors, providers and patients and bridge any gaps with our technology, services, data, and provider networks to drive alignment and better outcomes in value-based contracts.

Everyone at Signify plays a role in helping to accelerate healthcare’s transition from fee-for-service to value-based care — and to helping facilitate a holistic, comprehensive approach to both care delivery and payment. We deliver on that commitment through close collaboration with our clients across several dimensions.

In-home Evaluative services

We leverage historical patient data to identify and engage Medicare Advantage and Medicaid health plan members who could benefit from an in-home evaluation. In-home evaluations and related services are completed by our nationwide network of 10,000+ clinicians, which includes physicians, nurse practitioners, and physician assistants. Using our proprietary iOS application, which captures hundreds of clinical and social data points, Signify clinicians meet with members — wherever they call home — to create a complete and comprehensive view of their health. These interactions, which are generally 2.5 times longer than a typical visit with a primary care physician and go well beyond an annual Medicare in-office wellness visit, help to close risk-based and quality-based gaps in care through in-app workflows that enable clinicians to evaluate health conditions, observe social and clinical needs, and deliver diagnostic and screening services.

Episodes of Care services

We deliver predictive analytics, software, and carefully curated provider networks that support the organization and financing of healthcare around a patient’s entire episode of care for a wide range of conditions and procedures. Signify’s solutions deliver true value-based care by helping payors manage risk, reduce costs, close gaps in care, improve outcomes and drive seamless collaboration among providers.

It all starts with data and technology, which power our advanced analytics engine and help to identify care redesign opportunities, track episode spend, trigger alerts, foster communications within and across provider teams, and flag areas for focus. The result is a powerful engine that provides a unique 360-degree view of the patient and care team activities across all treatment settings for Medicare, Medicaid or commercial programs.

The Centers for Medicare & Medicaid Services (CMS) has stated that everyone in a Medicare fee-for-service plan should be aligned to an accountable relationship by 2030. Our March 2022 acquisition of Caravan Health further extends our capabilities and ability to enable a range of value-based payment models — from advanced primary care, to specialty care bundles to total cost of care programs.

Transition to Home services

We support patients’ transitions from acute and post-acute care settings all the way home to reduce costs, improve outcomes, and increase shared savings in value-based programs such as CMS’ Bundled Payments for Care Improvement Advanced (BPCI-A). From identification within the acute setting to stabilization in the home, we track the patient’s journey longitudinally and support recovery throughout the entire episode of care to drive appropriate utilization, reduce readmissions, and improve outcomes.

Clinical and social care coordination

The home is the ideal place to observe and document social determinants of health (SDOH) that impact health outcomes, such as access to food, transportation, and financial resources needed for things like vital medications. Our team of 600+ clinical and social care coordinators, along with our network of 200 community-based organizations, connect people to relevant local programs and track interventions longitudinally to measure the impact of SDOH resolution on health outcomes and plan performance goals.

Signify Health Partner Program

Our partner program seeks to deliver value-added solutions by combining Signify Health offerings with those of technology and service providers. Through these innovative collaborations, we will be able to unlock new opportunities across a spectrum of healthcare needs, including behavioral health, chronic condition management, member engagement, SDOH, and remote patient monitoring.