Our Transition Care Program (TCP) helps hospitals improve outcomes, reduce readmissions, and support hospital clinical staff in addressing social determinant barriers to ensure safe and timely discharges. With one-on-one support, Innovative Healthcare Delivery helps patients manage the challenges of transitioning from hospital to home, starting with face-to-face interaction at bedside. Our Patient Advocates extend the hospital’s efforts as we help facilitate post-discharge plans so the patient has the best chance of a successful recovery.  At the core, TCP reduces unnecessary acute care readmissions which leads to a reduction in CMS penalties associated with the Hospital Readmission Reduction Program (HRRP).  Our non-clinical, hands-on approach also contributes to overall patient satisfaction which support improvement of hospital HCAHPS scores. 


In an effort to improve outcomes and reduce medical spend, Innovative Healthcare Delivery’s programs bring a unique solution to maximizing efficiencies in patient engagement.  Our programs support Commercial, Medicare and Medicaid plans and develop and facilitate initiatives based on the needs of the specific market and population variables.  Our personal, high-touch patient support reduces unneccessary hospital readmissions, ER utilization, promotes in-network usage and controls costs. We are with your members on a personal level, understanding their needs and filling the gaps in care to improve their health outcomes. 

Whether it’s supporting your Members during and after an acute hospitalization or providing patient engagement to hard-to-reach Members who are struggling with chronic disease management, our Patient Advocates provide personalized, intense support addressing social determinants of health, and improving care plan compliance.  We act as an extension to the health plan’s existing care management resources, promoting top of licensure approach, utilizing collaboration between non-clinical and clinical resources, and bringing better overall outcomes for the member and the health plan.


Innovative Healthcare Delivery solutions provide a variety of options for much needed advocacy support to your members who are attempting to navigate the healthcare delivery system after an acute event, or during their struggles with managing their chronic condition.  Our programs help reduce gaps in care to improve patient outcomes and reduce costs by developing relationships, addressing social determinants of health and providing a VIP approach to patient engagement.  We improve outcomes, reduce readmissions, and control costs, but also bring higher member satisfaction of your plan.

Call Innovative Healthcare Delivery Today!