The economics of continuous care are broader than a handful of billing codes. The same SureMediks infrastructure — connected devices, patient experience, Clinical Intelligence, provider workflows, documentation, and reimbursement services — can support fee-for-service reimbursement, entirely new clinical service lines, value-based performance, and premium or alternative care models.
Operate eligible care programs on shared infrastructure, with the activity capture, time tracking and documentation those services require — and reimbursement services to carry qualifying documented care through to the claim.
Stand up continuous-care programs the practice could not previously staff or support — extending what the organization can offer rather than only how existing work is billed.
Where performance depends on what happens between visits, continuous visibility becomes the economic asset — supporting proactive intervention, utilization management, quality performance, and the measurable outcomes value-based arrangements are judged on.
Care models paid for outside conventional claims entirely — where continuous data, proactive engagement and clinical visibility are the service the patient or sponsor is buying.
Four pathways, one infrastructure — so the economics never depend on a single set of billing codes.
Eligible population by program, participation rate and payer mix all move the result, which is why a number on a page is the wrong place to start. We model the fee-for-service pathway with you, from your panel, on the first call.
Program eligibility, coding, coverage, reimbursement, and applicable requirements vary by patient, provider, payer, and program. Programs are not automatically billable together. Value-based and alternative arrangements depend on contracts specific to each organization. Nothing on this page is a guarantee of coverage, payment, or financial outcome.
Bring your patient population, your programs and your payer mix. We’ll model what these pathways could mean for your practice.