Health Plans

Fewer hospital visits, better care, lower costs

With Waymark, it’s possible. Our proven interventions reduce preventable ED visits and can lead to better HEDIS scores for health plans.

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Our approach is
making an impact

Waymark services have been shown to dramatically improve patient outcomes in a 2024 peer-reviewed study.

23%

reduction in all-cause ED and hospital visits for rising-risk Waymark patients (versus matched control group)

Source: NEJM Catalyst (2024)

63%

clinical and social goal completion

Source: NEJM Catalyst (2024)

90%

accuracy in predicting avoidable ED and hospital visits

Source: Nature Scientific Reports (2024)

Our approach

Our approach

Precise interventions for at-risk patients

Waymark continuously monitors population health with purpose-built ML and AI tools to identify patients who need support and match them with the help they need.

Waymark Signal™

Our proprietary ML technology identifies rising-risk patients with >90% accuracy according to a peer-reviewed study (3x higher compared to the next-best algorithm).

Most Likely to Benefit

We’ve developed data science models to help our care teams deliver fully personalized care to each patient, making interventions more effective and impactful.

AI Assist Tools

We’ve built AI tools to make it easier for our care teams to support patients, including clinical decision support and pharmacist-specific tools that optimize prevention.

Draw on a team of community-based care professionals

Our multidisciplinary care teams understand the communities they serve, providing additional support to patients outside of the clinic.

Community Health Workers

Frontline public health workers based in the communities they serve

Pharmacists

Pharmacists and pharmacy technicians that work directly with PCPs to help patients with medications

Licensed Therapists

Mental health professionals that integrate evidence-based behavioral healthcare into primary care settings

Care Coordinators

Serve as dedicated Waymark point-of-contact for primary care offices

When patients get the help they need, they get better

Grounded in multiple peer-reviewed studies, Waymark’s care pathways are designed to reduce acute care utilization and improve quality of care for people enrolled in Medicaid.

Accompaniment & navigation

Appointment scheduling, patient accompaniment, arranging transportation or translation, and more

Chronic condition support

Helping patients proactively manage common diseases like diabetes and hypertension

Behavioral health therapy

Cognitive-behavioral and related therapies delivered by licensed professionals to address mental health needs

Quality gap closure

Transitions of care, medication adherence, education, and other critical aspects of patient care

How we’re making community-based care possible

At Waymark, we believe in the power of people. We equip our community-based care teams with the tools they need to help patients meet their goals.

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A new community workforce

We’re unlocking local potential by hiring and training people to become health navigators in their own communities.

Tech built for Medicaid

Waymark’s AI tools help community-based teams deliver evidence-based interventions at the time when Medicaid patients need them most.

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A new way forward for value-based care

Our community-based teams and data science technologies allow us to proactively intervene to keep patients healthy.

Evidence that better care is possible

In a 2024 peer-reviewed study, Waymark’s approach improved clinical outcomes, closed gaps in care, and lowered costs for health plans.

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We're dedicated to learning and sharing our own research. Take a look at our recent publications.

Browse our research

Get in touch

Have questions about Waymark?
We’d love to hear from you.