Specialty · Geriatrics & Primary Care
Between-visit support for your older patients.
Older patients often juggle several specialists, recent hospital stays, and family caregivers. Our navigators handle the follow-up that otherwise lands on your front desk.
The problem
Where patients get stuck between visits—and where your staff absorbs the calls.
- Post-discharge seniors who miss follow-up appointments
- Patients seeing multiple specialists who don't communicate
- Caregiver strain and family confusion about next steps
- Medicare, Medicaid, and benefits questions
- Equipment and home-support needs
- Isolation, food insecurity, and transportation gaps
How SageAlly helps
- Coordinate follow-up after hospital discharge
- Track referrals and confirm specialist appointments
- Help patients understand their plan of care
- Arrange medical equipment and insurance authorization
- Connect patients to benefits, meals, and companion services
- Keep caregivers informed, with the patient's permission
How PIN and CHI fit
Principal Illness Navigation (PIN)
For patients with dementia, heart failure, COPD, or another serious condition, PIN covers navigation.
About PINCommunity Health Integration (CHI)
For social barriers like food, housing, transportation, or caregiver gaps, CHI covers that work.
About CHIServices are billed by your practice and furnished by SageAlly's care team under your clinicians' supervision.
Let's see if your patient panel is a fit.
A short call is the fastest way to find out. Tell us about your practice and we'll follow up.
Patient or family member?
For Patients & Families