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Powering Smarter, Safer Care for Value-Based Models

With 24/7 predictive analytics and integrated medical support, TapestryHealth can reduce hospital readmissions, elevate care quality, and lower total costs of care.

Transforming Care for ACOs, ISNPs, and Medicare Advantage Plans

TapestryHealth is a tech-enabled medical practice purpose-built to close care gaps and elevate outcomes in post-acute and long-term care settings. With a national footprint spanning over 1,300 skilled nursing facilities (SNFs), Tapestry delivers a scalable, data-driven solution that aligns seamlessly with the goals of Accountable Care Organizations (ACOs), Institutional Special Needs Plans (ISNPs), and Medicare Advantage (MA) programs.

At the heart of Tapestry’s approach is a layered ecosystem of care that combines predictive analytics, remote and in-person clinical services, and seamless EHR integration. Our proprietary Early Illness Detection system leverages AI to identify subtle signs of decline up to 72 hours in advance—empowering care teams to intervene early and avoid unnecessary hospitalizations.

Tapestry’s Results for the year 2024
Overall Savings: ~8–10%
Medicare Savings: ~$70mm saved

Tailored for Value-Based Success

  • 1
    For ACOs
    Our model enhances care coordination, reduces total cost of care, and improves patient outcomes-core tenets of ACO success.
  • 2
    For iSNPs
    Our 24/7 clinical coverage and predictive monitoring are ideal for managing high-acuity, chronically ill populations in institutional settings. Tapestry’s model supports iSNPs in achieving quality benchmarks while reducing costly acute episodes.
  • 3
    For Medicare Advantage Plans
    Tapestry’s integrated services—including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI)—are fully compliant with CMS guidelines and CPT billing codes. We handle all claims and compliance, ensuring seamless integration with MA plan operations.

Why ISNPs Partner with Tapestry

Hospitalization
Reduction

TapestryHealth combines predictive analytics with continuous monitoring to help reduce hospital readmissions by up to 50%—a key performance driver for ISNP shared savings and overall value.

Integrated Clinical
Model

Unlike tech-only vendors, TapestryHealth is a medical practice. We provide end-to-end care coordination with layered clinical oversight—including NP-led telemedicine, chronic care management, and direct provider intervention for high-risk residents.

AI-Powered
Early Detection

Our AI engine continuously evaluates patient data to flag early signs of deterioration—up to 72 hours (and in some cases, five days) before traditional symptom recognition—enabling ISNPs to intervene earlier and reduce costly ED transfers and hospitalizations.

Operational
Efficiency

Facilities using TapestryHealth report a 20% gain in efficiency, 15% higher staff satisfaction, and a 10% improvement in patient experience. Our real-time reports and intelligent alerts reduce noise, sharpen clinical focus, and ease the burden on frontline teams.

Quality, Compliance,
and Reporting

Tapestry’s daily, monthly, and cross-facility reports support improved Star Ratings, QMs, and value-based care performance. SNFs and ISNPs alike benefit from data that strengthens compliance, enhances outcomes, and supports contract negotiations and growth.

Turnkey Deployment
Tapestry handles everything, from implementation and integration to ongoing analytics and reporting, making it easy for ISNPs and facilities to adopt advanced tech and clinical tools.
Speed to
Value

Our platform delivers instant visibility into resident risk, without disrupting existing workflows. ISNPs gain day-one value with actionable insights that help teams work smarter—not harder.

Future-Proof
Technology

Tapestry’s platform is technology-agnostic and built to evolve. As innovation advances and ISNP priorities shift, we adapt—keeping you ahead without locking you in.

Resource
Optimization

By reducing time spent on documentation and avoidable crises, Tapestry helps ISNP clinicians focus where it matters most: the highest-risk, highest-need residents. The result? Improved outcomes, better census stability, and a more strategic use of your clinical team.

The Difference is in the Care

Model
Predictive Analytics
Clinical Support
Hospitalization Reduction
Reporting/Compliance
Point-solution, tech-focused

Limited or absent

None or minimal

0–15% reported
Minimal
Clinician-driven, integrated care platform
Yes – AI scans for risk 24/7
24/7 NP/Physician network, managed workflow
Up to 50%
Regulatory, operational, and quality reporting

Compared

12 month intervention period vs. 12 month baseline period

0%

Reduction in Emergency
Department (ED) Visits

0%

Reduction in Inpatient
(IP) Admissions

0%

Reduction in Total Cost
of Care (Charges)

0%

Increase in Operational Efficiency

0%

Increase in Staff
Satisfaction

0%

Increase in Patient Satisfaction

Get in Touch

Learn how our proactive care model reduces spend and aligns with your value-based
care goals.