At TimeDoc Health, our vision is simple: to provide continuous, preventive, and extraordinary care to people with chronic conditions everywhere across the country. But extraordinary care shouldn’t be an abstract promise—it must be backed by rigorous clinical data, measurable utilization reductions, and meaningful quality score improvements.
Whether evaluating our programs on health equity, HEDIS quality measures, emergency department diversion, or patient retention, the proof is in the patient panel.
2Mill+
Unique Patients Served
3Mill+
Care Coordination Hours
90%+
Avg. Monthly Retention Rate
When chronic disease management shifts from episodic 15-minute visits to proactive between-visit care, health outcomes improve dramatically.
| Clinical Outcome Benchmark | Demonstrated Results | Strategic Clinical Impact |
|---|---|---|
| Patient Rosters & Emergency Department Diversion (EDK) | 34% Reduction | Significant drop in emergency utilization among high-risk Medicare populations. |
| Depression Remission (BHI) | 86% Improvement | Validated rating scales drive early mental health intervention and stabilization. |
| Blood Pressure Control (<140/90) | 26% to 50% Gain | Rapid stabilization for hypertensive cohorts within the first 90 days of enrollment. |
| Monthly Encounter Summaries | 12% to 16% Gain | Consistent 1.2-point average A1C drop across active Remote Patient Monitoring (RPM) patients within 6 months. |
For organizations navigating MSSP ACOs, Medicare Advantage Star Ratings, or value-based contracts, closing care gaps is crucial for securing performance bonuses. TimeDoc care managers actively track and fulfill critical preventive screenings during monthly touchpoints:
Diabetic Eye Exam
42%
Improvement in completed retinal screenings.
Colorectal Cancer Screening
22%
Improvement in closed screening gaps.
Diabetic Foot Exam
17%
Improvement in routine podiatric assessments.
Breast Cancer Screening
14%
Improvement in mammography completion.
Cervical Cancer Screening
14%
Improvement in completed screenings.
Behind every clinical metric is a patient whose life was changed because a TimeDoc care manager picked up the phone. Here is how between-visit coordination transforms lives in the real world:
“A patient newly enrolled in our Chronic Care Management (CCM) program shared that she and her husband were struggling to prepare meals within their prescribed dietary guidelines. Our Care Manager immediately navigated community resources and enrolled the couple in Meals on Wheels. They received their first meal delivery the very next day, taking a massive burden off their health and daily lives.”
“During a routine care call, a patient reported three recent falls at home. Recognizing the danger, our Care Manager coordinated with the primary care provider to conduct a mobility assessment and secure necessary durable medical equipment (DME). The patient received a motorized scooter, allowing her to safely leave her home and spend quality time with her grandchildren without fall risk.”
“When a patient missed a crucial pulmonology appointment due to foot pain and fear of driving, our Care Manager discovered the root cause: low literacy made it difficult for him to read his insurance card or understand his benefits. Our team contacted his insurer on his behalf, arranged free medical transportation, unlocked $1,200 in annual over-the-counter benefits, and flagged his record so future communications would accommodate his literacy needs.”
Large Southeast Integrated Delivery Network (IDN)
Disconnected RPM pilots lacked CCM structure, leading to poor enrollment and financial sustainability.
Deployed a phased rollout pairing CCM as the operational foundation with targeted RPM expansion.
19,200+ active patient enrollments, $8.7M in new revenue generated in the first 12 months, and $2,700 annual savings per RPM patient through proactive intervention.
Learn moreCommunity Health Centers & FQHCs Nationwide
Limited staff bandwidth, high burnout, and vulnerable patient populations with complex Social Determinants of Health (SDOH).
TimeDoc served as an integrated staff extension, handling outreach and closing care gaps.
70% of colorectal screening gaps closed within 4 weeks, a 96% monthly service rate, and $1.1M in utilization savings per 1,500 APCM lives.
Read the case studyDiscover how TimeDoc Health’s integrated virtual care platform delivers clinical excellence, improved quality scores, and sustainable financial return.