Tech-driven Cardio-Renal-Metabolic (CKM) disease management

A new, holistic and technology-driven approach to the CKM syndrome that delivers outstanding outcomes at reduced costs

Tech-driven Cardio-Renal-Metabolic (CKM)
disease management

A new, holistic and technology-driven approach to the CKM syndrome that delivers outstanding outcomes at reduced costs

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Poor CKM health is a major problem

  • 31% mortality rate

    The combination of type 2 diabetes and chronic kidney disease markedly increases mortality, and there is a high rate of co-occurring heart failure.

  • More than $3500 per year per patient cost burden

    Avoidable re-admissions, disease-progression and cardio-renal complications increases costs dramatically.

  • Less than 18% of patients on optimal therapies

    GDMT (Guideline Directed Medical Therapy) for conditions like heart failure and chronic kidney disease are well established, but very poorly implemented.

  • Siloed Specialties

    Patients struggle to find individual experts to manage each disease domain let alone anyone who can take an integrated approach to multiple complex conditions.

  • High impact of SDOH on disease outcomes

    SDOH must be assessed to correctly estimate risk and addressed to reduce it.

Why Atman Health?

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Disease management platform

Our fully systematized technology platform seamlessly incorporates every detail about the patient into each decision across diagnosis and management. Through this platform we manage guideline-directed medical therapy in kidney and cardiac conditions as well as type 2 diabetes and obesity.

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Virtual and continuous care

Onboarding is rapid and Atman’s platform and the care team fully integrates remote care to create a personal trajectory that ensures the right care is delivered at the right time in the right place.

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High-touch engagement

Our care navigators, who work closely with the physician on the same software platform, are attentive and empathic guides who help the patients to attain their individually tailored goals.

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A platform that is vigilant, up-to-date, and continuously improving using AI

The Atman platform ensures that the latest evidence shapes every decision, no detail is missed, and maximizes the impact of emerging technologies on outcomes. Further, using AI, we continuously improve our patient engagement capabilities and are deploying automated call agents for medication reconciliation, reminders and follow ups.

How it Works

We partner with providers and payers as a remote service provider or technology vendor to manage select disease conditions in targeted patient populations.

Atman as remote service provider & technology vendor

We work with our partners to screen and enroll patients into our remote management programs

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Once enrolled, we engage with the patients directly and conduct initial program setup, including appropriate devices provisioning and data intake

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After collection of all the information, our platform helps determine patient specific goals for given conditions

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Next, we identify personalized treatment plans considering all patient specific information, including currently administered medications, known co-morbidities and preferences

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Our remote team then works with the patients to determine optimal medications and titrations by rapid monitoring of drug response

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Once optimal goals are reached our team will continue to engage with the patients and monitor/optimize deviations from the goals

Atman as technology provider

We work with our Partners to form and train their remote management team in patient identification and disease management as supported by the platform

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This remote team then uses Atman platform in conjunction with the local EMR to manage the patients as per remote management workflow driven by the Atman Platform.