At Prime CTO, we are committed to advancing healthcare equity and improving outcomes for high-risk, high-need beneficiaries. We recognize the importance of the Health Equity Advancement Resource and Transformation (HEART) Payment, a collaborative initiative by the Centers for Medicare & Medicaid Services (CMS) and the Maryland Primary Care Program Management Office.

Our SDOH Driven Care Management service is tailored to HEART beneficiaries, focusing on addressing the rate-limiting factors that impact their optimal health. We understand that healthcare is interconnected with living conditions and life essentials. Patients facing challenges in these areas may struggle to prioritize their healthcare needs. To bridge this gap, we offer assistance through our proprietary social needs platform. By leveraging claims data and consumer reporting, we identify specific social needs and voids in patients' lives that can directly affect their healthcare outcomes. This approach enables us to provide targeted support, even to those patients who may be hesitant to ask for assistance.