The Country’s Largest Network of Independent Primary Care Organizations Utilizes ADTs to Improve Care Coordination and Reduce Medical Spending

Founded in 2014, Aledade is the largest network of independent primary care organizations in the country, helping primary care practices, Community Health Centers (CHCs), Federally Qualified Health Centers (FQHCs) and health clinics deliver better care and thrive under value-based care. Together with 1,500+ practices in 46 states and the District of Columbia, Aledade shares in the risk and reward across more than 150 value-based contracts and is responsible for two million patient lives under medical management.

Success in value-based care requires Aledade providers and care teams to be updated to changes in the status of their patients so that the right care can be provided at the right time. Aledade relies on admission, discharge, and transfer (ADT) notifications to enable clinicians to see when a patient has visited the emergency department (ED) or has been discharged from the hospital. This helps initiate timely post-discharge follow-up to reduce ED readmissions and decrease the number of patients going back to the ED unnecessarily.

To get more ADTs in California, Aledade joined Manifest MedEx, California’s largest nonprofit health information organization in 2020. As of 2023, 35 of CAledade’s practices are participants in Manifest MedEx, representing almost 60,000 patients, and $780 million dollars in medical spend under management.

Learn how the utilization of ADTs supports CAledade's transitional care management (TCM) to improve care coordination, prevent avoidable readmissions, and reduce costs.