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 core (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 mantain 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
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.
Working seamlessly within your practice
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
Extend your care reach beyond the office visit
Learn more about how Evergreen can support your practice with our CCM program.
