Across your organization or network
Assign a patient population or workflow to MySeema. Our navigators carry the agreed outreach and follow-through across participating practices, with responsibilities clear to your existing team.
Healthcare organizations · Networks
Patient follow-up across your organization or network.
Care management and navigation for health systems, ACOs, healthcare companies, and provider networks. We coordinate patient outreach and next steps within participating care teams’ EMRs, under agreed clinical protocols.
The partnership model
Your clinical model. Our follow-through.
Serving rural communities? Explore rural care navigation →Illustrative division of work
MySeema follows up with the patient
We clarify the need and carry the coordination assigned to us.
MySeema coordinates the next step and documents it
What happened and what remains open are recorded in the participating care team’s EMR.
Treating clinicians retain oversight. Participating clinical organizations bill eligible services. MySeema coordinates and documents the agreed work.
Start with one population or workflow.
Through transitions
Help patients move from a qualifying facility stay to follow-up appointments and ongoing care management.
Around a service line
Coordinate appointments, referrals, medication-related follow-up, and practical needs around primary care or oncology.
An ACO partnership with IntraCare
ACO partnership · IntraCare
Anwar KaziCEO, IntraCare“Partnering with MySeema allows us to expand critical programs like remote monitoring and care navigation in a way that supports both patient health and our broader population health strategy.”Read the partnership announcement →
What your team sees each month
Monthly report fields
Illustrative layout- Care touches per patient
- Review outreach and coordination activity.
- Care plans completed and reviewed
- Review documented care-plan work.
- Follow-up actions taken
- See actions taken after needs were identified.
- Patients routed back to the clinic
- See where the clinical team was brought in.
Fields shown without patient or partner data.
Select the services that fit your patients.
We agree which care-management services fit the patient population and how they will operate within your organization.
Explore the care-management programs
Chronic Care Management
Ongoing coordination across multiple chronic conditions.
Transitional Care Management
Support during the transition from a qualifying facility stay back to the community.
Principal Care Management
Focused management of one high-risk chronic condition.
Advanced Primary Care Management
An ongoing primary-care bundle built around continuity, coordination, and access.
Remote Patient Monitoring
Connected physiological readings that inform the clinical team between visits.
Remote Therapeutic Monitoring
Information about symptoms, adherence, and response to prescribed therapy.
Behavioral Health Integration
Behavioral-health care connected with the rest of the care plan.
Community Health Integration
Support when social needs interfere with diagnosis or treatment.
Principal Illness Navigation
Navigation around a serious, high-risk illness and its care plan.
Medication Therapy Management
Medication-review support, including coordination with eligible patients’ Part D plan services.
Eligibility, consent, personnel, documentation, and billing rules differ by service. MTM is a Part D plan program. Services are selected around the patient and the partner agreement, not automatically billed together.
Getting started
Agree the workflow. Then start with patients.
Agree on scope
Identify the patient population, clinical owner, program scope, and measures that matter to your team.
Set up the workflow
MySeema leads setup with your team: approved EMR access, patient introductions, referral routes, clinical escalation, and documentation. Your organization completes its security and access approvals.
Start navigation
Introduce the service to patients and begin enrollment and coordination under the agreed model.
Review the work
Use the monthly partner report to review the work and identify next steps.
Standard programs typically launch within 10 business days of signed agreement and system access. Broader rollouts are planned around the organization’s requirements.
Questions from organizations and networks
Can a healthcare company partner with MySeema for its provider network?
Yes. We can define support for a participating provider network, service line, or patient population. We agree the scope, clinical oversight, record access, documentation, and commercial responsibilities with the relevant organizations before launch. Treatment decisions remain with treating clinicians.
Can we partner with MySeema from another state?
Yes. MySeema welcomes partnerships with healthcare companies, health systems, ACOs, provider networks, physician practices, and clinics in all 50 U.S. states. We agree the patient population, services, and workflows with each organization.
Will MySeema replace our existing navigation team?
Your team selects the patients or workflow MySeema will support. We take on the agreed outreach, coordination, and documentation, while your existing care managers and clinicians retain their assigned responsibilities. We agree the handoffs and clinical escalation route before outreach begins.
Do we have to adopt another platform?
Our default is to work through your organization’s access in its existing EMR. MySeema’s platform is also available, with no MySeema software fee. We confirm the arrangement during planning.
Who handles treatment decisions and billing?
Treating clinicians make treatment decisions and oversee clinical services. Eligible services are billed by the participating clinical organization under applicable rules. The partnership agreement defines each organization’s responsibilities.
What can we use to evaluate the partnership?
Start with the work delivered: enrollment, documented care-plan work, follow-up actions, and patients routed back to the clinic. To assess clinical or utilization outcomes, agree the population, comparison approach, and review period at the outset.
Can navigation support patients outside a Medicare program?
Yes. MySeema also provides navigation beyond program eligibility. The service scope and funding arrangement are agreed with the partner.
Start with the patients your team wants help reaching.
Tell us which population or workflow needs support. We’ll discuss what MySeema would handle and what your team would retain.