Better Place Health Management

    Patient Activation for Value-Based Care Groups

    You already know which patients need action. BPHM helps get them to follow through.

    BPHM helps value-based care groups, MSOs, ACOs, and risk-bearing providers engage Medicare patients, schedule visits, close care gaps, support post-discharge follow-up, and activate remote care programs.

    The Problem

    Risk-bearing providers do not just need more data. They need patients to act.

    Most value-based care organizations already know which patients are overdue, high-risk, recently discharged, uncontrolled, or disengaged. The bottleneck is outreach, trust, scheduling, follow-through, and closing the loop.

    Identify the right patients

    Work from your eligibility files, gaps lists, and risk stratification.

    Reach them with senior-built outreach

    Human-led phone, SMS, and email designed for Medicare populations.

    Drive the action

    Schedule, enroll, activate devices, complete follow-ups, document outcomes.

    Reduce avoidable utilization

    Earlier engagement and monitoring help avoid downstream care events.

    Use Cases

    Built for the campaigns VBC groups actually run.

    Annual Wellness Visit campaigns
    PCP follow-up and attribution support
    Post-discharge follow-up
    Care-gap closure
    Diabetic eye exam outreach
    Colonoscopy / Cologuard completion
    Medication adherence support
    RPM and CCM enrollment
    High-risk patient re-engagement
    Silent member outreach
    Family and caregiver coordination

    How BPHM Helps

    From patient list to closed-loop reporting.

    /01

    Patient List

    /02

    Omnichannel Outreach

    /03

    Scheduling / Enrollment

    /04

    Follow-Up & Documentation

    /05

    Closed-Loop Reporting

    Why BPHM

    Built for senior populations and risk-bearing economics.

    Medicare senior engagement experience
    Human-led outreach
    Phone, SMS, and email workflows
    Clinical escalation support
    Reporting and disposition tracking
    Campaign-based and ongoing models

    Turn patient lists into completed actions.

    Let's design a campaign tailored to your population and your gaps.