For Payers & Home Care
Reduce Costs. Improve Outcomes. Prove Both.
Vital Triage delivers measurable ED diversion, per-member cost reduction, and the outcomes data your value-based contracts require.
Evidence-Based Triage That Lowers Your PMPM
Every unnecessary emergency department visit costs your plan thousands of dollars. Vital Triage provides your members with 24/7 access to a registered nurse who applies evidence-based protocols to guide them to the right level of care — most of the time, away from the ED.
Our triage program is measurable. You receive monthly outcomes reports with ED diversion rates, call volumes, and disposition data broken down by member population — exactly what quality and actuarial teams need.
Proven ED Diversion
Average 40% reduction in low-acuity ER visits
PMPM Cost Reduction
Measurable cost-per-member savings from avoided claims
Quality Metric Support
HEDIS, STAR ratings, and VBC quality program support
Outcomes Reporting
Monthly data package for actuarial and quality teams
Measurable ROI.
Documented Outcomes.
Value-Based Care
Built for the Move Toward Value
Whether you're in ACO arrangements, MSSP, or commercial VBC contracts, Vital Triage generates the clinical touch-points and outcome data that support your model.
HEDIS Support
Nurse triage interactions support preventive care gap-closing and avoidable admission metrics.
STAR Rating Improvement
After-hours access and care coordination touch-points support CMS STAR quality measures.
ACO Integration
Align with your ACO's utilization management goals through consistent, documented triage.
Risk Stratification
Triage call data identifies high-utilizers and high-risk members for care management outreach.
Avoidable Admissions
Clinical protocols specifically target prevention of avoidable hospitalizations.
ROI Documentation
Monthly cost-savings reports calculated from avoided ED and urgent care claims.
Clinical Triage for Your Home Health Patients
Home health patients are often elderly, medically complex, and uncertain about when a symptom warrants concern. When they call after-hours, a trained nurse can make the difference between a reassured patient at home and an unnecessary 911 call.
Vital Triage provides rapid clinical assessments for home health and hospice patients — reducing hospitalizations, easing family anxiety, and documenting every interaction for your care team.
Reduce 911 Calls
Clinical assessment often resolves concerns safely at home
Lower Hospitalizations
Avg. 35% reduction in avoidable inpatient admissions
Care Team Notification
HIPAA-compliant fax/message to your care coordinator
Family Support
Reassurance and guidance for family caregivers too
Home Health
& Hospice.