Design & Deliver High-Value Care

ED visits ~ Readmissions ~ Multi-Visit Patients 

Our Impact

  • Amy’s passion and understanding of care transitions allowed Cityblock to build a sustainable inpatient and community care transition process.

    National Director of Care Transitions, Cityblock Health

  • Dr. Boutwell’s approach shifts the paradigm and engages providers in critical thinking and problem solving that creates meaningful change.

    Patient Experience and Equity Lead, Vizient CMS Partnership for Patients

  • What you got this team to do in 9 months would have easily otherwise taken 4 years - and 2 people would have quit!

    Chief Medical Officer, Regional Community Based Organization, NY DSRIP

ASPIRE to Reduce Readmissions

We wrote the book on reducing Medicaid readmissions for AHRQ. They asked us to identify the ways in which strategies that were identified in research on the Medicare population needed to be adapted or modified to better serve the Medicaid population. ASPIRE is a data-informed, payer-blind, systems-based approach that anticipates and mitigates the root cause of readmissions in different population segments. A transformed operating system, designed to deliver equity and value.

"I never hesitate to tell groups that in my opinion, that is the best overall guide to reducing readmissions that has been published.  I have found the guide to be clear, thorough, thoughtful, thought-provoking, and extremely useful."

Data Informed. Clinically Credible. Operationally Feasible. Locally Adaptable. Effective.

Let’s create high-value care together