A Valuable Partnership
Monogram Health: Slowing the progression of chronic diseases.
Monogram Health is an in-home, multi-specialty provider deploying a team of physicians, specialists, nurses, pharmacists, and social workers to comprehensively care for your members so they feel better and stay out of the ER, lowering the total cost of care.
In today’s fragmented health system, patients and primary care providers too often struggle to effectively manage the complexity of polychronic disease. Monogram Health steps in to fill that void.
A CHALLENGING FINANCIAL LANDSCAPE FOR HEALTHCARE
The Rise of the Polychronic Patient Population
The disease burden of chronic conditions has been rising dramatically. People are living longer and developing more and more compounded, chronic illnesses.
The rise in obesity, for example, is linked to a higher risk of cardiovascular disease, diabetes, and hypertension. These “polychronic” patients have complex care needs that negatively impact quality of life.
This trend not only contributes to poor health outcomes, it also places financial strain on the industry. Of $5 trillion spent on U.S. healthcare annually, 90% involves people with chronic conditions. Meanwhile, spending on specialist care is growing 35% faster than all other Medicare and commercial spending.
The number of people in the U.S. with three or more chronic diseases is skyrocketing.
How Monogram Health Fills a Need for Payers
Behind every sustainable health care plan is a partner who understands that better outcomes require accountability.
When fragmentation makes care difficult for payers to manage, Monogram Health works as an extension of the health plan, taking on clinical, operational, and regulatory responsibilities.
From specialist treatment and care and medication therapy management to compliance with CMS Special Needs Plans (SNP) and Dual Eligible Special Needs Plans (D-SNP), Monogram Health assumes full accountability for both cost and outcomes, demonstrating that financial sustainability and patient-centered care can be achieved in tandem.
Driving Down Spend with Better Treatment and Care
At Monogram Health, we are bridging the gaps between those who pay for care, those who deliver care, and those who live with the outcome. We are a value-based care company that takes on full risk. Our model aligns clinical action, financial responsibility, and human impact, within one ecosystem.
Monogram Health's holistic approach
Our model is transformative for patients with complex needs.
Multi-specialty treatment and care for Medicare Advantage, Medicaid, and Marketplace members
Serving patients with 3+ progressed chronic conditions, such as diabetes, hypertension, CKD, heart failure, depression, and COPD.
Our Integrated Multispecialty Care Delivery Model
The Impact of Partnering with Monogram Health
35%
Fewer
hospital admissions
44%
ER admissions
72
Patient Net
Promoter Score
+1.15
Stars Improvement
90%
Savings from
clinical interventions
$550M+
total projected
medical savings in 2026
8.8%
MLR Reduction
on attributed population
(2026 projection)
5+
Years proven success in
managing full MLR risk