Extend care
beyond the visit.
Patients with chronic, complex, or behavioral-health needs often require follow-up between appointments: after medication changes, missed visits, hospital discharge, or when something simply isn't going as planned.
Anuvra provides licensed nurses and clinical staff who contact patients between visits, following up, coordinating care, documenting the work, and escalating concerns through your approved pathways.
An illustrative interval, not a patient case.
Between one visit and the next
Nothing is scheduled in between. What happened surfaces at the next visit, or sooner if the patient calls.
The same interval, with contracted capacity
Contact happens through the interval, on the schedule your practice sets. Every attempt is logged, reached or not, and anything meeting your escalation criteria routes to your clinician.
- Visit
- No contact
- Anuvra outreach
- Escalation routed
Your patients never leave your practice.
You keep clinical direction. We provide the capacity to get the work done.
No competing brand, no separate patient portal, no third party building its own relationship with your panel. Anuvra works inside practice-approved protocols, workflows, responsibilities and escalation pathways, and every patient stays yours.
The work between visits still has to get done.
- A medication was changed and no one has heard how the patient is tolerating it.
- A patient came home from the hospital last Thursday.
- A referral was placed six weeks ago and nothing has come back.
- Someone missed two appointments and stopped answering.
Many practices can identify the patients who need more follow-through without running a report.
The problem is rarely intent. It is capacity.
What the work actually looks like.
An illustrative sequence, not a patient case. No patient information appears anywhere on this site.
-
Visit
A medication is changed.
The next appointment is three months out.
Your practice -
Follow-up
A nurse calls on the agreed schedule.
To the contact protocol your practice approved, with the attempt logged either way.
Anuvra -
Something surfaces
A question, a side effect, a barrier to filling it.
Reported as the patient describes it. Not interpreted.
Anuvra -
Coordination and escalation
Routed through the pathway you defined.
To a named clinician, at the urgency level your criteria set.
Shared -
Documentation
The activity and the response are recorded.
Timestamped, attributed, in the agreed system of record.
Anuvra -
Next clinical touchpoint
The clinician has the months in between.
Your practice
The work is not the phone call. It is the follow-through.
Consistent follow-through, by design.
Named licensed staff working your between-visit list on a schedule, so the follow-up happens whether or not the week goes to plan.
Select a card to see how each one is delivered.
- Nurse outreach
- Medication follow-up
- Care coordination
- Post-discharge follow-up
- Appointment recovery
- Documentation & escalation
Licensed. Accountable. Auditable.
Appropriately licensed clinical staff working within scope and approved protocols. Clear responsibilities, escalation pathways and practitioner oversight. Timestamped activity, documented escalation and structured quality review.
Before patient-level work begins, the appropriate agreements and secure-access workflow are in place. Assigned nurses are verified as authorized to practice where the patient is located and for the activities in scope. Your practice approves every patient before anyone is contacted.
Start defined.
Learn quickly.
Scale deliberately.
-
Phase one
Fit & scope
Your population, your payer mix, where staffing is stretched, and a written proposal of the work. No agreement required, and no patient information changes hands.
-
Phase two
Design & prepare
Contract and business associate agreement, workflow and escalation design, licensure validation, patient criteria, and your approval of the actual list.
-
Phase three
Run & evaluate
Outreach begins, work is documented as it happens, and both organizations review it monthly against measures agreed before launch.
Start small. Measure closely. Scale deliberately.
A defined pilot allows both organizations to evaluate the workflow, staffing needs, documentation and patient engagement before making a larger commitment. Pilot and termination terms are defined in the engagement agreement.
Your practice bills the program and receives the revenue. Our fee is fixed against the agreed scope, and is never a percentage of your collections.
Built for practices that need more capacity between visits.
The strongest fit is an organization that already owns the patient relationship and clinical decision-making but needs additional capacity to execute recurring between-visit care consistently.
- Primary care
- Psychiatry & behavioral health
- Geriatrics
- Physician-led groups
Behavioral health does not stop when the visit ends. Intervals are longer, and recurring contact, re-engagement and escalation often matter more inside them — the same operating model, adapted to those workflows.
Is between-visit work falling onto an already-full clinical team?
Start with a short conversation about your patient population, workflow and current staffing pressure. The first conversation is designed to determine fit before either organization invests further.