Loading...
Care Model 2017-05-09T06:55:00+00:00
Icon

ACE employs a highly effective, patient-centric, community based and culturally competent clinical model of care that is directly supported by our Interdisciplinary Care Team (ICT) and our
Call Center Team.

RN CARE MANAGER

  • ICT Lead
  • Coordinates all medical care and behavioral health needs.
  • Works with PCPs, facilities, etc.
  • Transitional Care Management.

NURSE MANAGER

  • Liaison between the PCP, ICT and VP of Clinical Ops.
  • Conduct regular reviews of Members and their care.
  • Manages 3 to 4 ICTs.

HEALTH ENGAGEMENT SPECIALISTS

  • Focuses on outreach and community support.
  • Addresses social determinants of health.
Icon

THE ACE CARE MODEL

ACE Care Model achieves successful coordination among a system of care delivery networks, including physicians, hospitals, emergency rooms and behavioral health facilities. Communication can be lost when navigating multiple avenues of care; ACE serves as the tie that binds, supporting positive, high quality health outcomes. Members and their families are at the forefront of the ACE care model and are encouraged to actively participate in their health journey, which is why ACE is often found in the home of our members discussing tailored approaches to meet their health, behavior and psycho-social needs.

Identify

Wave

To target members with maximum population health impact potential.

LEARN MORE

Engage

Wave

Member outreach using ICT as an extension of the provider office.

LEARN MORE

Assess & Plan

Wave

Comprehensive assessments to develop person-centered care plans.

LEARN MORE

Care

Wave

Intervention campaigns for complex medical and behavioral conditions.

LEARN MORE

Report

Wave

Extensive program evaluation and outcomes reporting for members.

LEARN MORE

ACE CALL CENTER

ASSISTANCE IN APPOINT SETTING

ACE WELLNESS CAMPAIGNS

MEMBER SUPPORT

View Campaigns