partnership solutions

Evergreen Connected Care

Enhanced support for your practice that helps you deliver proactive care across your population, generate sustainable fee-for-service revenue (FFS), and prepare for value-based care (VBC).

Increasing demands require more support

Nephrologists face conflicting priorities when it comes to balancing patient care and maintaining a sustainable practice. Evergreen Connected Care is a chronic care management (CCM) program built to meet patients’ needs between office visits. Utilizing Phamily’s AI-powered proactive care management platform, our care team is able to handle administrative tasks and maintain billing compliance while engaging patients in their care.

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The Evergreen difference

Why implement Evergreen Connected Care now?

Several key shifts are reshaping nephrology, creating both urgency and opportunity for practices.

Patient expectations have changed

Patients often expect more than periodic office visits. Practices that deliver proactive outreach and care coordination between visits are better positioned to retain patients and strengthen referral relationships.

Staffing challenges are limiting growth

With a dedicated support model, you can deliver and scale CCM, expand capacity, and maintain quality without competing for internal resources.

Reimbursement is strong and growing

Care management reimbursement continues to grow, yet many practices aren’t capturing it. CCM can unlock practice revenue without increasing visit volume.

Value-based contracts (VBC) readiness starts with FFS

Strong care management capabilities are the foundation for success in value-based models. Practices that establish these workflows today are primed to drive results in value-based contracts.

Patient expectations have changed

Staffing challenges are limiting growth

With a dedicated support model, you can deliver and scale CCM, expand capacity, and maintain quality without competing for internal resources.

Reimbursement is strong and growing

Care management reimbursement continues to grow, yet many practices aren’t capturing it. CCM can unlock practice revenue without increasing visit volume.

Value-based contracts (VBC) readiness starts with FFS

Strong care management capabilities are the foundation for success in value-based models. Practices that establish these workflows today are primed to drive results in value-based contracts.

Working seamlessly within your practice

Evergreen Connected Care integrates directly with your existing workflows as an extension of your team while providing clear visibility into patient activity and performance. Our dedicated Evergreen care team handles patient outreach, enrollment, administrative tasks, and billing compliance while keeping patients actively engaged in their care.

Operational efficiency gains

by reducing administrative burden and increasing practice revenue

Better patient engagement

from higher engagement and satisfaction promoting treatment plan adherence

Improved patient outcomes

from earlier identification and intervention to prevent complications

Comprehensive, high-touch support for every patient

Our care team engages patients regularly to guide their care, close gaps, and ensure nothing falls through the cracks. From managing day-to-day needs to addressing more complex challenges, we provide patients with:

Personalized guidance

to understand their condition and stay on track with their care plan

Ongoing assistance

with medications, nutrition, and symptoms between visits

Coordination across behavioral health and social needs

to address the full picture of health

End-to-end care coordination

including documentation and follow-up during care transitions

Want to connect?

Extend your care reach beyond the office visit

Learn more about how Evergreen can support your practice with our CCM program.