Chronic Disease Management

Chronic Disease Management

Six in ten adults in the United States have a chronic disease and four in ten adults have two or more. 90% of annual healthcare expenditures in the U.S. are for people with chronic and mental health conditions. Effective population health and risk stratification tools make SmartFHR™, 'the solution' for custom programs that engage at-risk population in behavioral changes and healthy lifestyle adaptation.

Condition Management and Care Coordination

Green Circle Life offers extensive care coordination and management capabilities to identify gaps in care across multiple chronic conditions, addressing them with a personalized care plan, all through a single app. Our platform features a robust evidence based disease management suite that includes population risk stratification, and chronic condition management. Interventions can be personalized for one or more conditions, medical device sourcing and delivery, remote monitoring with vitals tracking, and direct access to interactive guidance and support led by a dedicated team of clinicians-physicians, nurse practitioners, registered dietitians, and health coaches. The wellness team provides preventive care literature along with physical and emotional wellness support, as an integral part of managing chronic diseases such as Diabetes, Blood Pressure disorders, Obesity, Asthma, COPD, Congestive Heart Failure, and more.

Manage Outreach

Through claims and wellness assessment data, risk profiling and stratification analytics are able to focus on the root causes of excessive healthcare spending. Prioritizing high-risk individuals, for more robust, targeted intervention and guidance. Programmatic recommendations are generated to produce a healthier, personally accountable, satisfied workforce.

Remote Monitoring and Sharing

SmartFHR™ provides a secure gateway to wellness and disease management programming in a single dashboard interface. SmartFHR empowers employees to curate and review medical records for themselves and their family. The app transforms behavioral routines through push notifications, appointment and prescription reminders, healthy lifestyle guidance, and access to qualified health coaches. All appointments, examinations, and biometric testing results are loaded directly into individual employee profiles Data can be augmented and updated in real-time through health devices, trackers, and remote monitoring devices.