Who We Are

Saisystems Health is a leading provider of CMS OCM program solutions. Combined oncology and Medicare experience positions your practice to provide high quality care while exceeding CMS targets, reducing operational and health episode costs, and improving health outcomes.

Our programs are powerful independently, but imagine what we can accomplish with your practice together.

What We Do

The current state of oncology care is becoming more complex and demanding for physicians. While providers work tirelessly to treat patients, existing systems are working against them. On a large scale, practices and patients struggle with fragmented aspects of care, avoidable health episodes, and misalignment between payors and providers.

Our care management, pathways, and utilization management programs cut through the clutter to provide value and savings aligned with CMS.

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How We Do It

Experienced clinical staff

  • Three person community-embedded, boots-on-the-ground care team
  • Nurse triage for symptom management
  • Clinical pathways
  • Palliative care referral

Powerful technology

  • intriCare software suite for risk stratification and patient management
  • Real-time provider communication and collaboration within software
  • Integration of platforms with existing EHR and workflows
  • Practice transformation support

Personalized plans of care

  • A focus on the whole patient, not just their diagnosis
  • Consideration of co-morbidities
  • Disease-specific evidence pathways
  • Peer to peer case review

Multidimensional data analytics

  • OCM performance bench-marking
  • Risk acuity scores for preventative care measures
  • Prioritization of program improvement opportunities

Value-based reimbursement methodologies

  • Appropriate and strategic use of CMS funds
  • Evaluation of practice economics

Why It Benefits You

Our clients continuously see results surpassing their original goals. We address the CMS triple aim of better care, better health, and lower costs through evidence-based decisions, improved clinical outcomes, and increased opportunities to save. Our clients have seen up to:

42% reduction in ER visits

52% decrease in hospital admits

8X the national average for hospice conversion
Don’t pilot CMS OCM alone.
Take the journey with Saisystems Health.