Follo Health is designed to improve both clinical outcomes and financial performance by
creating consistent post-discharge engagement, better adherence, and faster intervention when
issues arise. Healthcare doesn’t end at discharge—and under evolving reimbursement models, neither does accountability. Hospitals and skilled nursing facilities are under increasing pressure to reduce readmissions, improve outcomes, and perform under value-based care frameworks. Our insights focus on what happens next: Transitional Care Management (TCM), Remote Patient Monitoring (RPM), and Chronic Care Management (CCM). We break down the strategies, workflows, and real-world applications that help providers extend care beyond their walls, align with Medicare expectations, and deliver measurable post-discharge results.