Payors & Employer Groups - Heartbeat Health
Identify and manage cardiovascular risk earlier.
Reduce high-cost cardiovascular events and lower total cost of care across your population.
$240
PMPM reduction in total
cardiology cost of care
44%
Reduction in all-cause
readmissions
63%
Reduction in emergency
cardiovascular utilization
88%
Blood pressure
control rate
Cardiovascular programs purpose‑built for cost reduction, quality performance, and population health.
We deliver virtual, specialist‑led cardiovascular programs that help health plans and employer groups reduce avoidable utilization, close high‑value quality gaps, and improve adherence to evidence‑based therapies across their covered populations.
Our programs target the highest‑cost, highest‑impact conditions — including heart failure, hypertension, maternal cardiovascular risk, and cardio‑kidney‑metabolic disease — with measurable improvements in control, adherence, and outcomes.
Our model integrates seamlessly with existing care management and population health infrastructure, requiring minimal operational lift while driving meaningful reductions in total cost of care.
How does this work?
Condition‑Focused Programs That Reduce Utilization+
We provide targeted programs for high‑cost cardiovascular conditions:
- Heart Failure: GDMT optimization, diuretic management, early symptom escalation pathways
- Hypertension & Maternal Hypertension: Rapid control, medication management, monitoring
- Cardio‑Kidney‑Metabolic Syndrome: Integrated management of diabetes, CKD, obesity, and cardiovascular risk
- Arrhythmia Detection: Identify previously undiagnosed arrhythmias, enabling earlier intervention with cECGs in-office or in-home
These programs reduce ED visits, admissions, readmissions, and unnecessary specialist referrals.
Data‑Driven Identification of Rising‑Risk Members+
Heartbeat ingests claims, labs, pharmacy data, and risk‑stratification feeds to identify members with uncontrolled or undiagnosed cardiovascular disease. We surface members with poor GDMT adherence, uncontrolled hypertension, early indications for heart failure, arrhythmias as well as those with frequent and recurrent ED or inpatient utilization. This enables earlier outreach and intervention before costs escalate.
Diagnostics & Specialist‑Led Care Plans+
When clinically indicated, we coordinate at‑home or facility‑based diagnostics — including cECG monitoring, echocardiography, and coronary imaging. Cardiologists review results and deliver clear, actionable care plans that support condition control, reduce acute events, and improve quality performance.
Closed‑Loop Documentation & Quality Reporting+
Our model complements utilization management, care management, and value‑based initiatives by providing complete documentation, follow‑up confirmation, and outcomes reporting. This ensures quality gaps close faster, high‑risk members stay engaged, and cardiovascular utilization trends move in the right direction.
Our care model complements utilization management, care management, and value-based initiatives without disrupting existing workflows.
How we identify and intervene before risk escalates.
Identify High-risk
Members
We ingest claims, lab, and risk-stratification data to proactively flag members with undiagnosed or worsening cardiovascular risk
Targeted Triage
& Outreach
Care managers or Heartbeat clinicians initiate focused outreach, including virtual intake and risk assessment
Diagnostics
& Specialist Review
At-home or facility-based diagnostics (cECG, Echo, CCTA) are coordinated as needed, with expedited cardiologist interpretation
Evidence-based intervention
Evidence-based intervention
Heartbeat cardiologists recommend guideline-directed therapy, structured care plans, or escalation only when clinically appropriate.
Care Coordination & Outcomes Reporting
We coordinate scheduling, follow up and documentation to ensure continuity and capture downstream revenue
Proactive cardiology care that lowers total cost of care.
Heartbeat delivers targeted, specialist-led cardiovascular programs that reduce avoidable ER visits and hospitalizations while improving cardiovascular quality metrics and value‑based performance.
Our programs are configurable to payer and employer priorities, including risk-stratified outreach, condition-specific pathways (HF, AFib, ischemic disease), and longitudinal cardiovascular management.
Heartbeat programs have demonstrated >$240 PMPM reduction in total cardiology cost of care across managed populations.
Core Services
- Risk‑stratified member identification and targeted outreach
- Virtual cardiology consults and rapid eConsults
- At‑home and expedited diagnostics with rapid reads
- Medication management and GDMT optimization
- Transitional care and post‑discharge follow‑up
- Population health reporting and ROI dashboards
Value outcomes
- Lower avoidable utilization and inpatient costs
- Reduced high‑cost cardiovascular events and readmissions
- Improved HEDIS/STAR and value‑based contract performance
- Stronger member retention and satisfaction
“Very professional and caring.
They answered all my questions before I even asked.
Doctor called promptly when I was told she would.
Highly recommend.”
PATIENT REVIEW, 2026
Built to support population-scale impact.
Lower Total
Cost of Care
Specialist-Led
Cardiovascular Care
Reduced High-Cost
Cardiac Events
Reduced
Utilization