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Amwell Post-Discharge Program

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As an extension of the health plan's care management team, Amwell Post-Discharge Program provides a personalized, chat-based virtual companion designed to help members feel more confident in understanding and managing their health after being discharged from a hospital. The program helps care teams identify risks before they arise to reduce readmissions, drive down costs and improve HEDIS/STAR scores in the process. As an example, members recently discharged from a hospital with a congestive heart failure diagnosis will have an automated care program that monitors the presence and progression of member-reported symptoms such as general health, symptoms of heart failure, unstable angina or arrhythmia, blood pressure, and mood screening through a personalized, engaging experience to enable better outcomes using a virtual companion. The program identifies members with potential risks and quickly notifies a case manager, care manager, or doctor to prioritize patients in need of additional care and support. Post-Discharge Program Market Drivers Hospital readmission rates for congestive heart failure are over 25% nationally and are most common among the elderly and Medicare members 4 20% of all admissions are from congestive heart failure, the most common reason for hospitalization among the elderly 3 Hospital readmissions add an est. $26B in costs to the American health care system annually 1 Of adult readmissions 20% were associated with septicemia, heart failure, diabetes, and chronic obstructive pulmonary disease 2 Support Members Virtual companions provide automated post- discharge support, assist with follow up and care plan adherence, and proactively identify members who have difficulty managing their illness, while helping case and care managers to better monitor and avoid unnecessary hospitalizations. Drive Engagement at Scale Automated Care Programs drive activation and engagement using a frictionless, chat-based virtual companion. Combining self-reported insights from your members, with a clinically validated decision engine, you can thoughtfully navigate and engage with members through a personalized chat. The virtual companion will triage members who need additional support to your care management team. Reduce Costs Post-Discharge programs can drive down costs related to avoidable ER or hospital readmissions by proactively identifying issues resulting in a shorter stay with less care management required.

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