Value-Based Care for Health Plans
Improve outcomes and reduce inappropriate utilization
Upperline Plus is a value-based care model designed around specialty care. It combines specialty care with coordinated follow-up and ongoing engagement to appropriately capture health risk assessments, improve quality outcomes, and reduce inappropriate utilization.
Value-based care built around specialty care populations
Upperline Plus offers comprehensive, whole-person care through specialty engagement and a coordinated approach.
Specialty care drives engagement
Many patients rely on specialists for regular care. Those touchpoints create more opportunities to identify risk, reinforce treatment plans, and support ongoing condition management.
Support continues between visits
Coordinated follow-up and virtual support keep patients engaged beyond the clinic.
Built for health plan performance
Improves health risk assessment capture, quality improvement programs, and reduces inappropriate utilization.
Measurable impact on cost, quality, and risk capture
Upperline Plus optimizes the core drivers of value-based care performance, helping health plans improve the quality of care and reduce inappropriate healthcare utilization, while managing VBC sustainability.
$1.7M
Revenue impact / 1K patients
~14%
Reduction in the cost of care
6+
Star measures impacted
How Upperline Plus works
Upperline Plus combines specialty and primary care clinic visits with coordinated follow-up and ongoing engagement. Together, these create a repeatable cycle that supports consistent performance over time.
Patients engage through specialty visits, creating opportunities to assess conditions, identify risk, and reinforce treatment plans.
Care teams follow up after visits to coordinate next steps and support adherence to treatment plans.
Patients stay engaged between visits through continuous outreach and support, helping maintain momentum and prevent gaps in care.
Ongoing engagement improves documentation and supports consistent performance across patient populations.
Why Upperline Plus Performs
Traditional value-based care models rely on limited patient interaction, making it difficult to consistently improve outcomes. Upperline Plus is built on frequent, coordinated engagement across specialty care and follow-up, creating more opportunities to drive performance.
More frequent patient engagement
Upperline Plus engages patients multiple times per year — creating more opportunities to close care gaps, improve documentation, and intervene earlier.
Hybrid model expands reach
Virtual, telehealth, and in-person care work together to support consistent delivery across patient populations and geographies.
Continuous, not episodic care
Care extends beyond individual visits through ongoing coordination and follow-up, improving adherence and continuity.
Extends across partner networks
Care Partners extend the Upperline Plus model beyond owned clinics, supporting consistent execution across diverse markets.
Strengthen performance with Upperline specialty networks
Pair Upperline Plus with specialty networks to expand access and increase the impact of value-based care.
Partner with Upperline
See how partnering with Upperline can improve risk documentation accuracy, enhance quality performance, and reduce inappropriate utilization across your patient populations.
