For Payers

Raising care quality, lowering care cost.

Upward Health offers insurers two primary benefits:

  1. Exceptional care for high-risk, high-need, high-cost members that generates high-quality outcomes
  2. Reduced cost for providing care to those members

Upward Health Dramatically Lowers Hospital Costs

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Fewer emergency department visits
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Fewer inpatient admissions

Upward Health delivers these benefits by providing hands-on, holistic care for your members. We care for the whole person, not just the physical, behavioral and environmental factors of their health.

Here's how we work with your members:

Magnifying Glass Icon Outreach & Engage We contact and connect with your most high-need members. No one is excluded, even the most difficult individuals.
Handshake Icon Assess & Plan We build trust, complete assessments and develop care plans to address whole-person needs.
Computer Devices Icon Deliver In-Home Care We deliver a combination of in-home, off-site and Facilitated Virtual Care through a dedicated network of providers.
Heart in Hand Icon Continuous Support We support members in achieving desired health goals.
Computer Icon Improve Outcomes We optimize your members’ access and quality of care while reducing total cost of care.

Upward Health helped keep:

98% Member Satisfaction

78% of members out of the emergency room

56% of members say their health is better now than it was 3 months ago

What you need to know:

  • We care for Medicare, Medicaid, and Commercial members
  • 24/7 coverage for your members
  • Our care helps achieve HEDIS and other quality measures
  • We provide a multidisciplinary specialty care team
  • We supply on-demand acute care
  • We provide scheduled chronic care services
  • We have alternatives to ED/IP admissions
  • Deliver robust data and outcomes analytics and reporting
  • We contract with health plans and submit claims for rendered services
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We integrate with your care and utilization management teams. Upward Health works with high-quality providers, both those currently in your network plus those for whom we will secure in-network status.