A Radically Different Approach to Fully Integrated, Whole Person Healthcare

Whole-person care when and where you need it. In the home, video, or on the phone.

Freedmen’s Delivers Whole Person Care to Vulnerable Populations

Complex Care for persons with Medical and Social Care Needs with a focus on achieving full Health Equity for vulnerable populations.

Low-Income older adults and persons with disabilities
Dual-Eligible and Waiver Populations
Serious Mental Illness (SMI) or Substance Use Disorder (SUD) + 2 or more chronic medical conditions or a functional impairment
Home-bound persons with multiple chronic conditions
Medicaid: Aged, Blind, and Disabled (ABD)
Medicaid LTSS / Medicaid Spend-down requiring extensive medical care
HUD 202 / 811 Supported Housing Residents (Population Health Model for HUD-Supported Housing)
Persons with a Serious Mental Illness (SMI)
Behavioral Health disorders + co-morbid medical conditions
Substance-Use Disorder / Opioid-Use Disorder + chronic physical health conditions
Health Equity Interventions to address SDOH needs:
Comprehensive Health-Related Social Needs (HRSN) screening with Z-Code reporting
Housing Insecurity
Food Insecurity
Transportation Support
Limited Caregiver Support
Income Insecurity
Inability to access medication
Limited caregiver support, etc.

Home-based primary care services delivered in the home or other community setting and supported by telehealth.

Addressing the healthcare digital divide.

Full range of remote monitoring capability enabled by a medicalized Verizon tablet device.
Individual and Group healthcare interventions through the HIPAA-Compliant, secure group and individual communication application