Call Us
Phone: (787) 800-4015
Fax: (787) 764-5866

✉️ Email Us
sapphirecaremanagement@gmail.com

Our Location
255 Juan Ponce De León Avenue Floor 17
San Juan PR 00902

⏱ Working Hours
Mon – Fri 8:00am – 5pm Eastern

OUR SERVICES

Comprehensive Health Risk Assessment (CHRA)

Sapphire Care Management has conducted more than 300,000 extensive health risk assessments for Medicare Advantage plans in Puerto Rico. Our team of highly qualified physicians is capable of engaging health plan members across both urban and rural areas in Puerto Rico. We conduct annual health profiles and comprehensive health risk assessments either in the member’s home or through telemedicine services.

At Sapphire Care Management, we collaborate closely with our clients to establish prospective risk profiles for each member. Our focus extends to aligning with the quality criteria outlined in HEDIS and Stars. Additionally, we diligently identify gaps in care and enhance integration with the health plan’s Care Management Program. Through these efforts, we aim to optimize the overall health and well-being of plan members while ensuring compliance with industry standards and promoting a seamless healthcare experience.

Transition of Care

Sapphire Care Management orchestrates seamless transition of care services for health plan members recently discharged from medical facilities with a heightened risk of readmission. In the aftermath of a hospital discharge for a member deemed high-risk for readmission, a Sapphire Care Management physician undertakes a home visit, prioritizing a positive care outcome to mitigate post-hospital complications and curtail hospital readmissions. During the home visit, the physician engages in the following activities:

Conducts a comprehensive post-discharge health assessment.
Executes a meticulous Medication Review Post Discharge (MRPD) with the primary objective of averting complications and hospital readmissions attributed to medication-related issues such as duplication, adverse drug events, errors, and non-adherence.
Confirms the presence of ordered equipment or health services at the member’s home, as prescribed by the admitting hospital physician
Ensures that the member has coordinated a post-discharge medical appointment with their attending physician.

Discharge Planning

Sapphire Care Management extends its Discharge Planning Program to hospitals and medical plans alike. This comprehensive service includes bedside intervention throughout the member’s hospital stay, ensuring a seamless coordination with our outpatient transition of care program.

Care Management Program.

Numerous health plan members face the challenge of being homebound, rendering them unable to attend traditional physician visits while contending with multiple chronic health conditions that necessitate intricate medical intervention and ongoing care. Recognizing these unique needs, Sapphire Care Management has implemented an in-home program designed to reach members within the comfort of their residences, both through physical visits and telemedicine services. This initiative delivers periodic medical services until the member achieves stability, with the overarching goal of mitigating emergency room visits and hospital admissions.

Medical Credentialing / Re-credentialing

Sapphire Care Management has created a streamlined medical credentialing and re-credentialing program tailored for medical plans and hospitals, ensuring full compliance with state, federal, and Medicare regulatory standards. Our company is dedicated to aiding newly onboarded physicians in acquiring their credentials, while also supporting existing physicians through the re-credentialing process.

Call Center

Sapphire Care Management is proud to unveil its cutting-edge call center program, seamlessly integrated with comprehensive support services, including patient health assessments. This innovative solution is designed to enhance efficiency and streamline communication, ultimately elevating the overall quality of care provided.

Our call center program is meticulously crafted to meet the evolving needs of healthcare management. Through Integrated Support, we aim to deliver a holistic approach that encompasses not only responsive communication but also thorough health assessments for patients. This integrated model ensures a comprehensive understanding of each patient’s needs, enabling us to provide tailored and effective care solutions.

At Sapphire Care Management, we prioritize excellence in service delivery. Our commitment to innovation and efficiency sets us apart, as we continue to redefine the standards of healthcare support. The incorporation of patient health assessments within our call center program reflects our dedication to providing personalized and proactive care.

Discover the future of healthcare communication with Sapphire Care Management advanced call center program, where Integrated Support and patient-centric health assessments converge for an unparalleled care experience.

The first step to customizing a plan is to determine the level and frequency of service a business will need. We can customized our services based on your needs. If you don’t see a particular service you are looking for, complete the form below and we will reach back to you with options cater to your company.
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