Unwanted 30-day readmissions are a major pain point for hospitals and can lead to financial penalties. We tackle this by augmenting existing post-discharge care by boosting Transitional Care Management and chronic disease follow-up. By giving patients greater access to support right after discharge, we address issues before they escalate. Our proven post-discharge care has cut 30-day readmission rates by over 34% for our partners. We ensure patients adhere to their discharge regimen, which is exactly the lever needed to move the needle on readmissions.

“Patient leakage” – when patients get referred or seek follow-up outside your network – is a revenue and continuity hit. Often this happens when patients are not closely guided back to the system’s outpatient care. Brilliant Care serves as the glue holding patients to your system. We schedule their follow-ups with your affiliated providers, arrange services within your network, and keep them engaged so they come back to YOUR community care system when they need it. This improves retention of patients in-network and strengthens lifetime value and outcomes.

Patients in a health system want to feel cared for beyond the hospital walls. By contacting them, educating them, and being available, we significantly boost their satisfaction. Many of our partner hospitals see their patient satisfaction (HCAHPS related to discharge transitions, for example) improve. We act as an extension of your commitment to patient-centered care, which reflects well on the health system’s brand and can lead to better ratings and reviews.

Hospitals often struggle with transitional care because staff like nurses or care managers are already stretched thin on inpatients or clinic duties. Brilliant Care “augments” that role externally. We handle the outreach and monitoring without adding to your bottom line or workload. It’s essentially plugging a gap in the care continuum with a turnkey solution.

We provide health systems with data on outcomes – readmission reductions, patient satisfaction ratings, etc. These can be used for quality improvement and reporting to leadership or payers. We also feed important clinical findings back to your system in real time (for instance, if we discover a high-risk issue during a call, we document it in the EHR or alert the physician). This ensures the system’s care team is always informed.