Clinical capacity where your team needs it.
Six areas of between-visit work. Each one describes the problem it addresses, what Anuvra does, and what stays with your organization.
Care Management Operations
Clinical-staff and operational support for CCM, PCM, BHI and Collaborative Care workflows, within your approved model and required practitioner oversight.
What this involves
The problem
Chronic and principal care management works when the contact happens every month, the care plan stays current, and the record shows both. Practices rarely fail at this because they disagree with it. They fail because the month gets away from them, and the patients who most needed a call are the ones who did not get one.
What Anuvra does
The recurring work: monthly outreach on schedule, care-plan workflow support and updates prepared for practitioner review, coordination with pharmacies, specialists and community services, and follow-up on the items your practice flagged last month. Every contact and attempt is documented as it happens.
What stays with your organization
Clinical direction, patient-care decisions, enrollment and consent decisions where required, practitioner oversight, and all billing and claims responsibilities.
Collaborative Care support is scoped around the practice's required treating-practitioner, behavioral-health care-manager and psychiatric-consultant structure. General BHI and Collaborative Care are distinct models with different requirements, and the engagement is designed to the one your practice is operating.
Patient Engagement
Structured contact with the patients who are hardest to reach, in the weeks between the appointments where the plan was made.
What this involves
The problem
A patient who does not answer the first call is usually not a patient who has been reached. One attempt becomes the whole outreach effort, the note says "unable to contact," and the person disappears from the practice until something goes wrong.
What Anuvra does
Nurse outreach with a defined contact protocol: how many attempts, at what times of day, through which channels, and what happens when contact still is not made. Medication follow-up after a change. Structured symptom and needs check-ins, with findings escalated according to the approved workflow. Care-gap follow-up. Appointment recovery for patients who have missed visits and stopped responding.
- 01Attempt
- 02Reach
- 03Need identified
- 04Coordinate
- 05Escalate
- 06Document
A follow-up attempt that does not reach the patient is still documented.
What stays with your organization
The clinical content of what patients are told, the protocols outreach follows, and any decision that requires clinical judgment.
Clinical Capacity
Licensed nurses and clinical staff who extend your team without adding to your payroll or your management load.
What this involves
The problem
Between-visit work competes with the schedule. Hiring for it means carrying a position through months when volume is uneven, and training it means someone senior spends their time on onboarding instead of patients.
What Anuvra does
Assigns licensed clinical staff to your patients, sized to the population you want covered: RN and LPN care-management capacity, supplemental clinical support, and enrollment workflows. Staff work within their scope of practice and your approved protocols. Where feasible, patients are supported by a consistent assigned team rather than a rotating call pool.
What stays with your organization
Clinical direction and oversight, the scope of what assigned staff may do, and approval of the patients they work with.
Documentation & Quality
The part most vendors treat as overhead, and the part a reviewer actually reads.
What this involves
The problem
Care-management work cannot be reliably reviewed, coordinated or evidenced if it is not documented clearly and contemporaneously. Documentation written days later, from memory, is worth less than documentation written at the time, whether the question comes from a covering physician or a reviewer.
What Anuvra does
Documentation is captured contemporaneously in the agreed system of record. Where your EHR and access policies permit direct access, Anuvra documents in your record; otherwise the workflow is defined before launch. Either way: timestamped activity, care-plan workflow support, month-end reporting, and structured quality and exception review. Delayed entries are identified as delayed, and escalations are recorded with what went to whom and what came back.
What stays with your organization
The medical record and its contents, review and sign-off where your protocols or applicable requirements call for it, and all billing and claims decisions.
- Who
- The named staff member, under their own credentials
- When
- Start and stop, recorded as it happens
- Activity
- What was attempted, what was discussed
- Outcome
- Reached, not reached, or unresolved
- Escalation
- What went to whom, and what came back
Behavioral Health Support
The same between-visit operating model, adapted to behavioral-health workflows. Intervals between visits are longer here, and recurring contact, re-engagement, coordination and escalation often matter more inside them.
What this involves
The problem
Behavioral-health patients often need contact precisely when they are least likely to initiate it. A medication change lands, the follow-up is six weeks out, and no one knows how the intervening weeks went until the patient either arrives or does not.
What Anuvra does
Recurring patient contact, medication adherence follow-up, missed-visit recovery, structured check-ins on symptoms and needs with findings escalated according to the approved workflow, care coordination, and operational support for behavioral health integration and Collaborative Care workflows. Concerns route to your clinicians through the escalation pathway you defined, with the urgency levels you defined.
What stays with your organization
Diagnosis, treatment, medication decisions, risk assessment and every element of psychiatric clinical judgment. Anuvra does not independently diagnose or treat.
Anuvra does not
- Diagnose psychiatric conditions
- Prescribe, adjust or discontinue medication
- Provide psychotherapy
- Conduct independent risk assessment or crisis determination
Your clinicians do
- All diagnosis and treatment
- All medication decisions
- All clinical judgment and risk determination
- The protocols and escalation criteria our staff work to
Post-Discharge Follow-Up
Contact inside the window your protocol sets, when medication lists disagree and nobody has called.
What this involves
The problem
The days after a discharge are when medication lists disagree with each other, instructions are misremembered, and a patient who is deteriorating has no scheduled contact with anyone. The practice often learns about the readmission before it learns about the discharge.
What Anuvra does
Contact within the window your protocol sets. Confirming the patient's understanding of discharge instructions and surfacing questions or discrepancies for the practice, identifying medication discrepancies for your clinicians to resolve, confirming that follow-up appointments exist and that the patient can get to them, and escalating when the picture does not look right.
What stays with your organization
Medication reconciliation decisions, clinical assessment, the discharge follow-up timeframe your protocol requires, and billing for any transitional care services.
- Discharge
The practice often learns late, or not at all.
- Contact
Within the window your protocol sets.
- Question or discrepancy
Surfaced, not resolved by us.
- Escalation
Routed to your clinician for a decision.
- Follow-up
Appointment confirmed, and the patient able to get there.
Scoped, then priced.
The market default
A share of what it collects
Full-service care-management vendors in this market are commonly paid a percentage of program collections. Their income rises with the number of billable months — and your practice, as the billing entity, carries the compliance exposure for every one of them.
Anuvra
A fixed fee for the work
Never a percentage of your collections. Set from the agreed patient population, clinical capacity, workflow complexity and scope. It does not move when a month becomes billable, so the only thing we can sell you more of is work you asked for.
Final pricing is provided after we understand the work.
Not sure which of these your practice actually needs?
Most conversations begin with the patient population, not the service line.