Who is a potential patient?
Bridges Health will serve those patients with complex or chronic health (medical, social and/or behavioral) conditions. Potential patients will be identified using various measurements such as: data-driven risk scores, emergency department utilization, frequent hospitalizations, medical and pharmaceutical claims information, disease prevalence and co-morbidity.
Bridges Health would work closely with these individuals to facilitate comprehensive care planning, intentional coordination of care between levels of care and specialty services. The Bridges Health care team will assist patients to navigate the increasingly complicated health care system and help the patient to take the lead on their own health and wellbeing.