The Best Way To Understand Patients
HOW IT WORKS
SOCIAL + CLINICAL
A HOLISTIC APPROACH
Our program intertwines clinical and social determinants of health to provide us and our partners with a holistic view of the patient, and unique insights into how we can best serve them. Focusing on both the social and clinical determinants of health allows us to more accurately predict patients risk factors. Pangea nurses can now go beyond just the clinical needs of our patients, and help them with all aspects in reaching their full potential at home.
RELATIONSHIP-BASED CARE
Caring for others is no small task. It requires many resources, and takes a deep understanding of the patients we serve. In a fee for service world doing this was a challenge, as the incentives were aligned with seeing as many patients as possible. Luckily, Pangea is helping to build the future of healthcare by encouraging a value based system. At the core of value based care, is building relationships with patients in order to understand the full picture. That is why patients in the Pangea program build a relationship with the same clinician throughout the entire period of care.
Easy Transition for Patients
We work with our partner’s discharge planners to ensure a swift transition of care. Our program is flexible depending on our partner’s needs and current plans in place.
Reducing Readmissions
Reducing readmissions has enormous benefits such as reducing costs for hospitals and nursing homes, increasing quality ratings, and focusing on the sustainable health of the patient.
In-Home Model
Our direct in-home care model eliminates the need for transportation back to a hospital or nursing home for a visit. One of the primary obstacles preventing post-discharge visits is transportation.
BENEFITS OF OUR READMISSION PREVENTION PROGRAM
Enhanced Communication
By focusing heavily on communication we provide hospitals, nursing homes, primary care physicians, and all others involved in the continuum of care a complete understanding of patient wellbeing and risk of readmission after discharge.
Economic Efficiency & A Holistic View
We provide our partners with economic efficiency and a holistic view of the continuum of care, allowing organizations to know what is happening with their patients once they have left their doors; all the while helping to invest in their patient’s long-term health.
EASY PRICING
We believe in simple pricing. No insurance or 3rd party hassles.
BENEFITS OF OUR READMISSION PREVENTION PROGRAM

Call
Check-in with patient and set up appointment

Visit
Comprehensive assessment of patient and readmission risks

Rating
Easy-to-understand rating of patient risk of readmission

Communication
Assessment and risk factors communicated back to all involved in continuum of care

Follow-up
A follow-up call to clear up any final questions.