Care models​

Care management solutions for value-based care models​

With blueBriX’s adaptable, scalable tools, you can design care models and care pathways that align with your specific patient populations and goals—ensuring better outcomes and greater efficiency in an evolving healthcare landscape.​

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Why do value-based care organizations need adaptive care management solutions?

Value-Based Care models are shaped by specific patient needs, services, financial models, and technology adoption levels. Adaptability is essential—not a luxury—to ensure success across diverse healthcare environments.

blueBriX’s open, technology-agnostic platform enables Value-Based Care Organizations to rapidly customize, seamlessly integrate, and scale.

Integrated care
EHR system

Unified patient records for all specialties, including dental, with customizable workflows, seamless interoperability, multilingual, and regulatory compliant.

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Care coordination​

Coordinate care among stakeholders with personalized treatment plans, referrals, communications, and real-time updates from medical devices and SDOH.

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Patient engagement​ solutions

Boost patient satisfaction scores with high-engagement solutions like at-home visits, patient navigation services, risk assessment, remote patient monitoring, and telemedicine.

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Provider network management​

Effectively manage provider network with solutions that streamline and monitor performance, manage contracts and reimbursements, and ensure compliance, enhancing collaboration.

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Revenue cycle management​

Optimize your revenue cycle and align financial incentives with care quality using tools that manage fee-for-service, capitation, shared savings, bundled payments, and performance-based reimbursement models.

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Population health

Leverage predictive analytics and population health management tools to identify at-risk populations, improve preventive care, and track key metrics like patient readmission rates, treatment costs, preventive care compliance rates and more.

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Sanford World Clinic uses blueEHR to deliver global health and healing

Learn how Sanford World Clinic implemented digital health solutions in over 30 clinics in Ghana in under 15 days, bringing the latest in care and technology to the underserved population.

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Care Management Solution FAQ

blueBriX’s Care Management Solution is an advanced, customizable platform designed to help healthcare organizations reduce care gaps, boost patient satisfaction, and lower costs in value-based care. We understand that healthcare organizations dealing with differentiated care settings and personalized care pathways require flexible solutions that adapt to their unique requirements. Unlike traditional care platforms, blueBriX offers modular, customizable solutions that align with your organizational goals and are scaleable. Built with cutting-edge digital health technology, it integrates seamlessly with existing EHR systems, telehealth platforms, and wearable devices.

 

Key features include predictive analytics for identifying at-risk populations, tools for creating tailored care plans, and automated workflows to simplify operations. Its robust interoperability ensures a unified view of patient health data, enabling providers to deliver proactive, patient-centric care while reducing costs and administrative burdens.

blueBriX’s Care Management Solution is ideal for a wide range of stakeholders in the healthcare ecosystem. Organizations that are either delivering or shifting to value-based care models and require differentiated care plans, treatment plans, and care pathways can significantly benefit from blueBriX’s Care Management Solution. These include multi-specialty hospitals, behavioral health services, chronic care providers, and population health managers.

blueBriX’s Care Management Solutions are tailored to align with an organization’s specific value-based care strategies. The platform offers scalable tools to design and implement personalized care pathways, that easily work with your current systems. With features like remote monitoring, collaborative care planning, and dynamic care pathway adjustments, blueBriX empowers healthcare organizations to deliver value-based, patient-centered care effectively. We cater to the following types of healthcare organizations:

 

  1. Provider Groups: Physicians, care coordinators, and clinical teams looking to streamline care delivery, enhance patient engagement, and reduce administrative burdens.
  2. Healthcare Organizations: Hospitals, clinics, and health systems seeking to improve care coordination, lower operational costs, and transition seamlessly to value-based care models.
  3. Management Service Organizations (MSOs): Groups managing practices or care networks that require scalable and customizable tools to align with diverse organizational goals and patient populations.
  4. Accountable Care Organizations (ACOs): Teams working to meet value-based care objectives by improving population health outcomes while managing shared savings programs effectively.
  5. Value-Based Care Organizations: Groups prioritizing patient satisfaction, operational efficiency, and cost-effective care through advanced analytics, care pathway optimization, and real-time monitoring.

With its robust and adaptable features, blueBriX helps these organizations achieve seamless integration, efficient workflows, and improved patient outcomes in an evolving healthcare landscape.

blueBriX empowers healthcare organizations to thrive in value-based care models by providing adaptable and scalable solutions tailored to their specific needs:

 

  1. Streamlined Care Coordination: blueBriX enables seamless collaboration among care teams with integrated workflows, ensuring patients receive consistent and coordinated care across settings.
  2. Personalized Care Pathways: The platform supports the design and deployment of customized care models and pathways to align with patient populations and organizational goals.
  3. Advanced Data Analytics: By harnessing predictive analytics and AI, blueBriX helps identify at-risk patients, optimize resource allocation, and monitor key metrics for value-based outcomes.
  4. High-impact Patient Engagement Tools: Through telehealth, appointment management, remote monitoring features, and advanced high-engagement technologies, blueBriX improves patient adherence to care plans, satisfaction, and health outcomes.
  5. Cost Efficiency: The platform integrates operational tools that reduce redundancies and unnecessary interventions, driving cost savings while maintaining high-quality care.

blueBriX’s robust tools and innovative approach make it a critical enabler for organizations transitioning to and excelling in value-based care models.

blueBriX’s Care Management Solution offers a comprehensive suite of features designed to enhance care delivery, improve outcomes, and streamline healthcare operations:

 

  1. Seamless EHR Integration: Easily integrates with internal and external electronic health records (EHRs) to consolidate patient information and ensure data consistency across systems.
  2. Customizable Care Pathways: Allows organizations to design and implement personalized care models tailored to diverse patient populations and clinical goals.
  3. Population Health Management: Leverages data-driven insights to identify at-risk groups and optimize preventive care strategies using predictive analytics.
  4. Patient Engagement Tools: Includes telehealth, appointment management, remote monitoring, and high-impact tools to enhance communication, improve adherence and outcomes while ensuring high patient satisfaction scores.
  5. Workflow Automation: Streamlines administrative tasks like appointment scheduling, follow-up reminders, clinical rule engine, etc. to reduce staff workload and improve operational efficiency.
  6. Data Security and Compliance: Ensures robust data protection and compliance with healthcare regulations like HIPAA, safeguarding sensitive patient information.
  7. Advanced Reporting and Analytics: Provides actionable insights through real-time dashboards and reports, helping organizations track performance metrics and achieve value-based care goals.

blueBriX equips healthcare organizations with the tools needed to deliver efficient, patient-centric, and value-driven care.

Yes, blueBriX’s Care Management Solution is designed for seamless integration with your existing systems. With support for openAPI and access to over 2,000 APIs, blueBriX enables effortless connectivity with electronic health records (EHRs), billing software, patient portals, and other healthcare applications. This ensures smooth data exchange, minimizes manual processes, and enhances overall system efficiency.

By integrating blueBriX with your current ecosystem, you can streamline workflows, improve interoperability, and maintain a unified view of patient data—all while reducing administrative burdens and optimizing care delivery. Whether you use legacy systems or modern software, blueBriX is built to work with a wide range of healthcare platforms.

Yes, blueBriX’s Care Management Solution is highly customizable to meet the unique needs of healthcare organizations. The platform is built with flexibility at its core, allowing users to tailor workflows, care pathways, and patient engagement strategies to align with their specific goals and objectives. Being a flexible platform you can build a custom version yourself or we can help you design a unique solution that directly aligns with your unique care delivery requirements.

 

How?

 

Our low-code/no-code platform allows users to build tailored solutions without requiring engineering expertise. The platform includes pre-built modules and a component/widget library for easy drag-and-drop application creation. This setup enables quick iterations and easy incorporation of feedback. Additionally, the solution supports integration with third-party systems and IoT devices, further enhancing its customizability to meet specific care management needs.

 

  1. APIs: blueBriX provides a wide range of APIs that allow seamless integration with existing healthcare systems, including Electronic Health Records (EHRs), Revenue Cycle Management (RCM) systems, and other third-party applications. This ensures that healthcare providers can customize their workflows, data management processes, and patient engagement strategies without the need for major overhauls in their IT infrastructure. The flexibility of APIs allows for enhanced interoperability, enabling data to flow seamlessly between different systems while maintaining the integrity and security of patient information.
  2. SDKs: In addition to APIs, blueBriX offers Software Development Kits, empowering organizations to extend the platform’s capabilities. Our SDKs come with pre-built modules, libraries, and templates that simplify the process of creating custom digital health solutions. This allows developers and IT teams to build and deploy features specific to the organization’s unique needs, from custom reporting dashboards to patient engagement tools. By providing ready-made components, blueBriX SDKs accelerate the development process while ensuring that the custom applications are stable, scalable, and compliant with healthcare regulations. Our team can also custom design solutions to align with your requirements.
  3. Low-Code and No-Code Platform: One of blueBriX’s standout features is its low-code/no-code platform, designed to empower both technical and non-technical users to create and customize applications quickly. This platform allows users to build workflows, reports, and applications through visual interfaces and drag-and-drop features, without requiring deep technical expertise. The low-code/no-code approach drastically reduces development time, making it easier for healthcare organizations to adapt their systems to meet evolving patient care needs. It also fosters collaboration across departments, as team members without coding skills can contribute to the development process, ensuring that the solutions align with clinical and administrative requirements.

With these capabilities, blueBriX empowers providers, MSOs, ACOs, and value-based care organizations to deliver efficient, patient-centric care while optimizing operations.

Yes, blueBriX’s Care Management Solution fully supports remote patient care through its advanced tools and technologies. With integrated remote patient monitoring (RPM), telemedicine capabilities, at-home visits, patient companion app. and real-time analytics, blueBriX enables providers to deliver high-quality proactive care beyond the clinic.

 

Key remote care features include:

 

  • Remote Patient Monitoring (RPM): Track patient vitals and health metrics in real-time for proactive health management.
  • Telemedicine Integration: Conduct video consultations and virtual follow-ups seamlessly.
  • Personalized Alerts & Notifications: Ensure timely interventions with automated alerts for patients and providers.Comprehensive Patient Support: Provide patients with easy access to education, navigation services, and ongoing communication, enhancing engagement and adherence.
  • At-home Visits: The blueBriX at-home visit app enables healthcare providers to manage and coordinate in-home care services effectively. This app is part of blueBriX’s broader care management solutions, which aim to offer comprehensive support for various healthcare delivery models, including at-home care.

With these capabilities, blueBriX ensures effective care coordination, patient satisfaction, and improved health outcomes, all while reducing the burden of in-person visits.

blueBriX improves patient engagement by leveraging advanced digital health tools that empower both patients and providers. The platform fosters meaningful connections through:

 

  1. Collaborative Care Planning: Personalized treatment plans, targeted coaching, and seamless care team coordination ensure patients feel supported throughout their health journey.
  2. Remote Patient Monitoring: Real-time tracking and data sharing enable patients to stay involved in their care while allowing providers to make informed decisions, enhancing adherence and outcomes.
  3. Educational Content: By providing tailored resources, patients are equipped to better understand their health, leading to improved self-management and confidence.
  4. Proactive Communication: Interactive tools, such as reminders and secure messaging, drive timely actions, reducing gaps in care and improving patient satisfaction.

Through these comprehensive solutions, blueBriX drives higher patient activation, HCAHPS scores, and overall satisfaction, supporting value-based care models effectively.

Yes, the blueBriX Care Management Solution is secure and fully compliant with global industry standards. It adheres to stringent regulatory frameworks, including HIPAA, GDPR, and ISO certifications, ensuring robust data protection. blueBriX employs cutting-edge encryption and user access controls to safeguard sensitive patient data. The platform is designed to meet the latest healthcare regulations, offering peace of mind to providers and patients alike. blueBriX supports detailed logging and monitoring to enhance accountability and transparency in care delivery. With blueBriX, healthcare organizations can confidently manage patient care while ensuring compliance with the most rigorous standards in the industry.

Yes, blueBriX Care Management Solutions effectively reduce hospital readmissions by integrating advanced features and proactive strategies. With predictive analytics to identify high-risk patients, it enables early interventions through targeted measures. Advanced remote patient monitoring (RPM) allows real-time health tracking, ensuring timely responses to potential complications. Enhanced care coordination ensures seamless communication between providers, facilitating consistent follow-ups and patient education post-discharge. Additionally, personalized reminders and interactive educational tools improve patient adherence to care plans, boosting outcomes and minimizing avoidable readmissions. These combined capabilities empower providers to deliver proactive, patient-centric care and significantly decrease readmission rates.

Definitely! blueBriX solutions emphasize preventive care as a core component of its approach to value-based healthcare. By leveraging predictive analytics, the solution identifies at-risk patients early, allowing for timely interventions that prevent the escalation of health issues. blueBriX also integrates personalized health education tools and regular wellness reminders, fostering better lifestyle choices and continuous patient monitoring. These efforts reduce the need for reactive treatments, contribute to improved health outcomes, and optimize resource utilization within healthcare organizations. The platform’s adaptability ensures that preventive care strategies can be tailored to meet the unique needs of diverse patient populations, aligning with the broader goals of health promotion and disease prevention.

Yes. The blueBriX platform leverages advanced data analytics to improve care management and patient outcomes. It integrates data from multiple sources into a centralized data lake, providing healthcare organizations with powerful business intelligence tools to generate insightful reports and visual dashboards. By using predictive analytics, the platform identifies at-risk patient populations and enables proactive care interventions. Additionally, blueBriX supports the use of data analytics to address social determinants of health (SDOH), ensuring comprehensive care management. This functionality helps healthcare providers make informed, data-driven decisions to optimize patient care, improve operational efficiency, and reduce healthcare disparities.

Both! blueBriX is designed to be highly adaptable and scalable, making it suitable for both small practices and large healthcare organizations such as ACOs, MSOs, specialty clinics multi-specialty hospitals etc. Its modular structure allows for customization to meet the specific needs of any practice, whether it’s a single-provider clinic or a multi-location healthcare system. The platform’s cloud-based infrastructure supports scalability, enabling it to handle the complexities of large organizations while still being accessible and easy to use for smaller practices. Whether you’re focused on enhancing patient engagement, improving care coordination, or streamlining operations, blueBriX provides the tools necessary to optimize workflows and achieve your healthcare goals, regardless of the size of your practice or organization.

Our implementation is quick and straightforward, with dedicated support from our team to ensure a smooth onboarding process. The time required to implement blueBriX’s care management solution depends on the size of your organization, the complexity of your care models, and the scope of integration required with existing systems. However, blueBriX’s low-code, no-code modular platform ensures a streamlined implementation process. Depending on the customizations required and your organization size, blueBriX implementation could take:

  • 2-3 weeks for a smaller organization with less customization
  • 1 month for a midsized clinic
  • 3-6 months for larger organizations

Custom projects can vary depending upon the business process being resolved. With pre-configured workflows and robust integration capabilities, most organizations can expect a quicker deployment compared to traditional care management solutions. blueBriX also provides expert support throughout the process to minimize disruption and accelerate your transition.

Yes, blueBriX offers comprehensive training and live onboarding support to ensure the successful adoption and utilization of our care management solutions. Our training programs are tailored to meet the needs of your staff, covering everything from initial onboarding to advanced features, ensuring your team feels confident and empowered to use the platform effectively.

Additionally, we provide ongoing assistance through a dedicated team available to address technical queries, resolve issues, and assist with customizations. Whether you need help with troubleshooting, updates, or scaling your care pathways, blueBriX is committed to being your partner every step of the way.

Yes, blueBriX is designed to support multilingual patient populations, ensuring seamless communication and enhanced patient engagement across diverse linguistic backgrounds. With support for up to 36 languages, including right-to-left scripts and regional formats, blueBriX makes healthcare more accessible to global patient communities.

This multilingual functionality extends to patient portals, care management tools, and EHR systems, allowing healthcare providers to offer personalized care while respecting the cultural and linguistic needs of their patients. Whether it’s documentation, appointment scheduling, or real-time communication, blueBriX helps bridge language barriers and promotes inclusivity in healthcare delivery.

blueBriX enhances care coordination by integrating data and workflows across multiple providers, care teams, and systems. With tools designed for seamless communication, blueBriX minimizes gaps in care and ensures a unified approach to managing patient health. Our platform supports shared access to patient records, collaborative care planning, referral management, and real-time updates, allowing care teams to stay aligned on treatment goals.

Telehealth integration and remote patient monitoring empower providers to deliver care beyond traditional settings, improving access and continuity for patients with chronic or acute conditions.

Real-time insights and analytics ensure providers can make informed decisions promptly, while population health management tools allow for proactive care strategies, addressing the needs of specific cohorts effectively. Features such as automated reminders, flexible rescheduling, and resource management help reduce delays and improve the efficiency of transitions between different providers or care settings.

When selecting care management software, organizations should evaluate the following factors:

 

  1. Requirement Analysis: The first step is to have clarity on your organization’s unique requirements and challenges that need to be resolved by the new tool.
  2. Resources: Do you have the right resources in terms of numbers and skillset ready for transition? Are you planning for additional resources to ease the transition?
  3. Features: Make a list of must-have and desirable features you plan to have in the new care management software. A quick research into what features are currently being offered in the market will help make this list.
  4. Ease of Use: The software should feature an intuitive interface with a minimal learning curve for staff to ensure seamless adoption and daily use.
  5. Integration Capabilities: It must integrate smoothly with existing EHRs, billing systems, and other healthcare technologies to provide a unified platform.
  6. Scalability and Flexibility: Choose software that accommodates growth and adapts to new care models, patient needs, and regulatory changes.
  7. Personalization: Ensure it allows for customization to align with your organization’s unique workflows, care plans, and patient engagement strategies.
  8. Automation and Efficiency: Look for features like automated reminders, streamlined appointment scheduling, and task management to improve operational efficiency.
  9. Reporting and Analytics: The software should offer actionable insights through real-time data and reporting to optimize care outcomes and identify trends.
  10. Security and Compliance: Verify that the platform adheres to HIPAA and other data privacy regulations, safeguarding patient information.
  11. Training and Support: Comprehensive training and ongoing technical support are essential to maximize value and ensure smooth operations post-implementation.
  12. Cost-Effectiveness: Evaluate pricing models to ensure the software aligns with your budget without compromising functionality.

By assessing these factors, organizations can choose a care management solution like blueBriX that aligns with their strategic goals and enhances care delivery.

blueBriX offers customizable workflows, allowing healthcare organizations to tailor care plans to the specific needs of patients with chronic conditions. This flexibility ensures that each patient’s care pathway is personalized and aligned with their unique health goals.

Additionally, the blueBriX platform supports remote patient monitoring, which is essential for managing chronic conditions by tracking patients’ health metrics outside of clinical settings. This allows healthcare providers to proactively monitor patients and intervene when necessary.

The platform’s integration with any 3rd-party care management tool ensures seamless coordination among disparate care teams, improving communication and minimizing gaps in treatment. By automating routine tasks like scheduling and patient follow-ups, blueBriX helps free up time for providers to focus on delivering high-quality care.

Incorporating real-time data access and communication capabilities, blueBriX ensures that all healthcare providers involved in chronic care management are kept informed and aligned, leading to improved patient outcomes and more efficient care delivery.

Integrated care improves patient outcomes by fostering collaboration across care providers, ensuring patients receive holistic and coordinated treatment. Integrating primary care, specialty care, and behavioral health services reduces gaps in communication and ensures seamless transitions between different care settings. This approach enhances patient experience, encourages adherence to treatment plans, and minimizes complications.

Additionally, integrated care reduces healthcare costs by preventing unnecessary hospitalizations, readmissions, and emergency visits. It focuses on early intervention and preventive care, addressing health issues before they escalate into costly treatments. By streamlining resources and eliminating redundancies, integrated care ensures high-quality care at a lower overall cost, supporting value-based care models.

Patient engagement tools, such as appointment scheduling, reminders, and health tracking, empower patients to manage their health, improving adherence and reducing complications. Data analytics tools in population health management (PHM) help identify at-risk populations, stratify risks, and personalize care plans, leading to more timely interventions. Care coordination solutions, which streamline communication across providers, reduce gaps in care, and prevent hospital readmissions. Integrating telehealth and remote monitoring into care management allows for continuous monitoring of chronic conditions, providing more access to care and reducing hospital visits. blueBriX PHM solutions provide a comprehensive, proactive approach, ensuring coordinated care and better health outcomes.

blueBriX care management software streamlines billing and reimbursement by offering tools at different stages of care delivery and billing:

 

  1. Point-of-Care Tools: These tools enable seamless pre-authorization, real-time eligibility checks, and accurate capture of codes and charges during care delivery. By addressing key billing elements at the point of care, blueBriX reduces errors and ensures smoother claim submissions.
  2. Billing Tools: These tools automate claims management, minimizing manual effort and expediting processing times. Comprehensive dashboards and reports provide actionable insights into billing performance, empowering healthcare organizations to track financial status and optimize workflows. This leads to faster reimbursements and improved cash flow.

Together, these features create an efficient and accurate billing process, helping healthcare providers enhance revenue cycle management (RCM) while maintaining compliance with regulations.

When selecting a patient engagement platform for effective value-based care management, several key features should be considered:

 

  1. Personalized Communication: The platform should allow for personalized messages, reminders, and educational content tailored to each patient’s needs and preferences, enhancing their involvement in their care process.
  2. Remote Monitoring: The ability to monitor patients’ health remotely through wearable devices or apps enables continuous care and early intervention for chronic conditions.
  3. Secure Messaging and Telehealth Integration: Real-time communication between patients and care teams, including secure messaging and video consultations, is crucial for maintaining continuous support and care.
  4. Appointment Scheduling and Reminders: Tools for booking appointments and automated reminders reduce no-show rates and enhance patient compliance with care plans.
  5. Data Integration: Seamless integration with existing EHR and care management systems ensures that patient information is always up-to-date and accessible for informed decision-making.

blueBriX’s patient engagement solutions come with all these features, making a significant impact by improving communication, ensuring timely interventions, and increasing patient satisfaction. By integrating remote monitoring, telehealth, secure messaging, and automated reminders, blueBriX helps healthcare providers manage care effectively, enhance patient engagement, and drive better health outcomes.

Bricks of blueBriX

Platform

blueBriX

Technology first Modular and extendable building blocks of prebuilt healthcare modules

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blueEHR

Integrated EHR system

Integrated EHR solutions to streamline differentiated workflows and treatment plans

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bluePatient

Patient engagement

Tools to give life to your patient engagement strategies for better outcomes and satisf...

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blueDental

Dental software

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blueConsole

No code app builder

Single window to manage your applications, integrations and access to the marketplace

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Enhancing patient outcomes with personalized, value-based care solutions.