Services
Physician-Led Primary Care Services for Post-Acute Settings

Physician-led primary care delivered directly within skilled nursing and assisted living facilities to ensure consistent clinical presence and accountability.
- Physician-led, longitudinal primary care
- Embedded within facility workflows
- Clear accountability for care decisions and outcomes
PCP puts the time, attention, and responsiveness required for every patient encounter to ensure thorough assessment and personalized care.
- Thorough, unrushed patient assessments
- Responsive, relationship-driven care delivery
- Personalized treatment planning
PCP has a proven care model delivering a groupwide hospital readmission rate below 9%, compared to the industry average of 24%, exceeding typical post-acute benchmarks.
- Early identification of changes in condition
- Timely clinical intervention to prevent escalation
- Proven outcomes with sub-9%
Ongoing management of complex chronic conditions with proactive monitoring, care planning, and patient education.
- Individualized care plans for complex conditions
- Proactive monitoring and early intervention
- Ongoing patient education and support
Close collaboration with facility staff, families, and care teams to maintain alignment and clarity across the care journey.
- Collaboration with nursing and facility leadership
- Clear, timely communication with families
- Alignment across care teams and settings
Round-the-clock on-call coverage for urgent needs, paired with clear family communication and collaborative care planning.
- 24/7 on-call provider availability
- Prompt response to urgent clinical needs
- Collaborative care planning with families




