Care coordination

Run the care programs Medicare already pays for,
without adding staff.

HANA calls your patients every month for chronic care, principal care, advanced primary care and behavioral health, flags what needs a clinician, and writes the note. Your clinician reviews and attests.

Book a demo →

The five-step flow

From first call to documented, in five steps.

Enroll by phone, on day one

HANA calls the patient, explains the program, records their consent in their own words, and starts the protocol your clinicians chose for their condition. No device to ship, no app to download, no behavior change asked of the patient.

Consent recorded on the call

Day 1
consent + onboarding, entirely by phone

The cost of doing nothing

The care is paid for. The calls never happen.

Medicare pays for the care between visits: chronic care management, principal care management, advanced primary care management, behavioral health integration. Almost none of it gets done, for one reason. Somebody has to call every patient, every month, and nobody has the hours.

4.0%
of Medicare fee-for-service patients eligible for chronic care management received it in 2019.
ASPE / NORC for HHS
93%
of US primary care practices billed no chronic care management at all in 2016.
Agarwal et al., JAMA, 2018

The problem was never the billing codes. It was the phone calls.

The questions every clinic asks

No device to ship. No app to download. No behavior change.

Will patients actually pick up?

The whole model rests on it. HANA calls in the patient's language, on the cadence the protocol sets, and tries again when nobody answers. Reach is the first thing we show you on your own panel.

30+ languages Repeat attempts Your protocol's cadence

What happens when something looks wrong?

A tripped threshold routes to your worklist in real time: a qualified human on every flag, not a log nobody reads.

“My BP cuff read 158/94”→ Escalated → Dr. Reyes

Does it actually count for billing?

HANA doesn't bill, and its call time never counts as clinical time. It writes the structured note the moment the call ends, so your clinician reviews and attests. CCM, APCM, PCM and BHI.

Call ends→ Structured note in the chartReady for Dr. Reyes to attest

Do I ship a device or make them download an app?

No. CCM, APCM, PCM and BHI need no device and no app: the care-management contact is the covered activity.

No device No app No behavior change

Compass · the control panel

Your team reviews what matters. The rest is handled.

Compass is where your care team lives: enrollment, escalations, and billing documentation run on their own. What reaches your team is a flagged worklist, not a phone queue.

app.hana.health/remote/queue
Task queue
Priority queue · 38 of 412 need action
1MA
M. Alvarez

No answer on 3 attempts

Call now
2DT
D. Tran

Reported weight up 3 lbs in 48h

Escalate
3RP
R. Patel

Pain 8/10 on day-7 check-in

Review
4JC
J. Chen

Reported BP 158/94 on check-in

Review
5SB
S. Bianchi

PHQ-9 = 14 · needs eyes

Review
6EW
E. Whitmore

Missed two scheduled check-ins

Nudge
7LR
L. Rossi

Care-plan review documented

Ready to attest
8KO
K. Okafor

Glucose log captured by voice

Done

Illustrative interface. Your team reviews what matters — the rest is handled.

Illustrative data.

The patient agent

Not just a monitor. The reason they stick with it.

Data alone doesn't change behavior. A patient who feels seen does. HANA is the voice on the other end of the line, running the protocol your clinicians wrote.

HANA · monthly check-in
Hypertension · your clinic's protocol
Hi Maria, it's HANA calling from Dr. Reyes's office for your monthly check-in. Have you been able to take your blood pressure medication every day?
Not every day. It makes me dizzy in the mornings, so I skipped a few.
Thank you for telling me. I'm passing that to Dr. Reyes's team today so they can look at it, and someone from the office will call you.
Okay, thank you.
You're welcome. I'll call again next month, and you can call the office any time before then.
Note in the chart · flagged to Dr. Reyes

An accountability partner

Patients don't fail because they can't. They drift. HANA calls on cadence, notices when the plan slips, and makes sure your team hears about it. That follow-through is what keeps a care plan alive between visits.

Running a real protocol

Every conversation runs the protocol your clinicians set for the condition: the right questions, the right thresholds, the right escalation. It never gives clinical advice.

In 30+ languages, on the cadence your protocol sets.

The workflows

One loop. Every care program.

Chronic and behavioral care, wellness visits, post-op follow-up, screenings. Each one runs as a call workflow, documented to the chart for your clinician to attest. Tap any card to see the steps.

EHR
Voice
SMS
Staff alert
PDMP / verify
Schedule

In their words

The clinicians running these programs.

“Hana … captures the conversation in structured notes that go straight into the chart, and flags anyone who needs a same-day callback.”
Fakhrudin Mohamed, MD
Fakhrudin Mohamed, MD
Board-Certified Physician
“Getting elderly patients ready for surgery over the phone is nearly impossible. HANA reaches them, walks them through everything, and flags whoever still isn't ready so we can step in.”
Dr. G. Oprandi
Dr. G. Oprandi
Orthopedic surgeon

Audit-ready by default

Built for the audit you'll eventually get.

Remote care billing is under real scrutiny. OIG has published its remote-monitoring audit work, and DOJ has already settled its first remote-monitoring False Claims case. The four things an auditor asks for are the four things HANA records on every call, for every patient, whether or not anyone ever asks.

Every minute attributed to a named clinician

HANA's own call time is never counted as clinical time. Care-management minutes are recorded against the qualified staff member who did the work, with a timestamped record of what they reviewed and when they attested.

Every escalation reaches a qualified human

Clinical flags route to a named clinician, not a shared queue. The record shows who received it, when it was opened, and what was done, so "a clinician reviewed it" is a fact you can produce, not a claim you make.

Consent recorded on the call

Program consent is recorded in the patient's own words at enrollment: the program, the date and the cost-sharing disclosure, stored with the recording. It's the first thing an auditor asks for and the thing practices most often can't produce.

One-click audit export

Any month, any patient, any program: one export with transcripts, structured notes, time attribution, escalation trail, and attestations. Ready to hand to a payer, an auditor, or your counsel, without a chart-by-chart reconstruction.

We don't bill, and our call time is never clinical time. We produce the record that proves yours was real.

Three phases. You're live in 3 weeks.

How to get started with Hana.

PHASE 01

Pick the workflow.

The one that's costing you most — pre-built, or built around your protocols.

PHASE 02

Connect your EHR.

Direct, or 95+ systems via Redox. Hana reads the chart and your protocols first — patients are never asked what you already know.

PHASE 03

Go live — then it runs itself.

Your team tests it on a real line before a single patient is called. From there, Hana works the queue in the background — your team steps in only when it's flagged.

Book a Demo

Most teams go live in 3 weeks.

Questions? Answers.

The things everyone asks.

No. Chronic care management, advanced primary care management, principal care management and behavioral health integration are device-free: the care-management contact is the covered activity. Nothing is shipped, downloaded or charged to the patient.

No, and we're deliberate about that. RPM codes (99453/99454/99457) require an FDA-defined medical device that transmits readings automatically. A patient reading a number to us over the phone does not satisfy them, and billing RPM that way is what the DOJ's first RPM False Claims settlement was about. The programs HANA runs are the device-free ones: CCM, APCM, PCM, BHI and CoCM.

No, the opposite. HANA's call time is never billed as clinical time: CMS counts only time spent by clinical staff. HANA makes the call, captures what the patient said and writes the note, so your clinician reviews a flagged worklist and attests instead of chasing patients.

HANA produces the record the codes require; your qualified staff supply and attest to the time. Every call is written back as a structured note assigned to a named clinician, across CCM, APCM, PCM and BHI, so the person who bills is the person who did the clinical work, with the record to show it.

You export the month and hand it over. Every check-in stores its transcript and structured note, every care-management minute is attributed to the named clinician who supplied it, every escalation records who received it and what they did, and program consent is recorded in the patient's own words on the enrollment call. That's the packet an auditor asks for, assembled as the program runs rather than reconstructed afterwards.

HANA calls patients in 30+ languages, switching automatically per patient. No separate configuration or phone lines required.

Ready to run the programs your patients already qualify for?

See it on your own panel.

Book a demo →
No devices to ship No app to download Audit-ready from day one