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Passport eCare® Population Health Management Suite

Manage patient's entire course of care, from initial diagnosis through full recovery. 

New Medicare initiatives like Hospital Value-Based Purchasing, Accountable Care Organization (ACO) Pioneer and Shared Savings are now directly tying clinical outcomes and patient satisfaction to Medicare reimbursement.  Bundled Payments are also linking post-acute care services to hospital reimbursement. 


  • identify ACO patients whenever eligibility is verified
  • assist patient in selecting and scheduling post-acute care
  • communicate discharge instructions
  • identify patients affecting readmission risk and value-based purchasing score
  • prioritize case management followup based on likelihood of readmission


  • automate care cycle coordination for ACO patients
  • increase quality and value scores against outcome goals
  • proactively manage readmission risk and value-based purchasing reimbursement
  • achieve meaningful use stage II compliance for discharge instruction communication

Population Health Management Suite Solutions:

MemberMatch - Passport will host your ACO membership file and match members in real-time against the registration, eligibility and benefit data that Passport processes for its providers.

PatientRisk - Identify high risk and high cost patients with our transaction-based patient readmission risk scoring.  Providers can reduce 30-day readmission rate by allocating case management staff to the patients who are at the highest risk of readmission.

CareCertainty - Patients can make selections from the correct list of providers to initiate scheduling follow-up visits or care transitions to post-acute settings.

For more information on CMS initiatives visit