For Value-Based Orgs

You took on risk because you believed you could do better for your patients. So did we.

HCO works with Value-Based Orgs across both respiratory and neurological care. Two programs. One partner. Incentives aligned with yours from day one.

2 in 5
Medicare members with asthma or COPD visit the ED annually. At $2,600 per visit.
Up to $18K
Additional annual cost for a Medicare COPD member with common comorbidities.
95
Net Promoter Score for HCO Neuro. Among the highest in virtual care.

We are clinician-developed, independently validated, and structured to improve your benchmark performance. Our compensation is tied to the savings we generate. If we do not move the needle, we do not get paid.

HCO Respiratory

Asthma and COPD

Reduce ED visits, hospitalizations, and comorbidity cost

HCO Neuro

Stroke, Parkinson's and TBI

Reduce readmissions and transportation costs, improve function, lower total cost

HCO Respiratory: Value-Based Care

Asthma and COPD are among the most fixable cost drivers in your Medicare population.

Poorly controlled respiratory disease erodes benchmark performance year after year. This spend is not fixed. Holding Medicare Advantage risk? The same work moves the Star measures your plan partners watch most: readmissions (PCR), transitions of care (TRC), and follow-up after ED visits (FMC). COPD and asthma both count toward FMC.

Asthma: Medicare
$8K–$10K

Additional annual cost per Medicare asthma member when common comorbidities are present. These costs compound directly into your benchmark.

COPD: Medicare
$15K–$18K

Additional annual cost per Medicare COPD member with common comorbidities. The spend multiplies when diabetes, obesity, hypertension and anxiety are present.

ADAMM wearable + care team model
Objective, continuous data from our proprietary wearable device. Respiratory therapist-led education. Member-specific action plans.
Comorbidity reduction
The data shows our members improve beyond respiratory metrics: reductions in anxiety, diabetes markers, and obesity across the enrolled population.
HRSN support built in
HEPA filtration, Wi-Fi access, pest control support: we address the environment, not just the condition.
Graduation model
Members who achieve self-management graduate. Your costs drop permanently. We measure success by how quickly members no longer need us.
Built for the 30-day window
When a member lands in the ED or hospital, we reach out fast and support the follow-up visit and medication follow-through.
HCO Neuro: Value-Based Care

Stroke is among the most expensive conditions in Medicare. Readmissions are the largest driver.

Virtual neurological rehabilitation improves function and reduces total cost of care. We make it accessible regardless of where your members live. Rehab at home also reaches measures your plan partners report: transitions of care, plus Health Outcomes Survey measures like falls risk and physical health.

Stroke: Medicare
$45K–$75K

Average annual Medicare spend for a stroke survivor. Readmission rates remain persistently high, often due to inadequate post-acute care access.

Readmissions
~12%

30-day readmission rate for stroke. Much of this is preventable with consistent post-acute rehabilitation and monitoring.

PT, OT, and speech therapy: coordinated
All three disciplines through a single team. Your members get comprehensive care without navigating multiple providers.
No transportation burden
Sessions happen from home via video. Caregivers don't need to take time off. Rural members get the same access as urban.
Gains possible regardless of time since event
Neuroplasticity doesn't have a deadline. Some of our best outcomes come from members who were told their window had closed.
95 NPS
Among the highest in virtual care. Your members stay engaged because they see results.
We also work in Medicaid VBC

Built for Medicaid value-based arrangements.

We work with organizations managing Medicaid VBC arrangements, particularly where HRSN and equity are part of the performance framework. We start with your state's measure set. Pediatric asthma follow-up (AAF-E) and COPD follow-through (PCE) apply in most states, and both tie directly to quality withholds.

How we work with Value-Based Orgs

Aligned incentives. Real accountability.

1

We integrate with your population

You identify the high-cost and rising-risk respiratory and neuro members. We handle outreach, enrollment, and engagement.

2

We put our fees at risk

A meaningful portion of our compensation is tied to hitting clinical and cost outcomes. If we don't move the needle, we don't get paid in full.

3

You improve benchmark performance

Fewer ED visits and hospitalizations. Lower total cost. Better quality scores on the measures your contracts pay on: readmissions, follow-up after ED visits, and transitions of care. The ROI is measurable and attributable.

Let's talk about your population.

We work with Value-Based Orgs of all sizes. Two programs, one partner, incentives aligned from day one.