EXPAND YOUR REACH
We manage the complex connections between health plans, providers, and community-based organizations (CBOs), to fulfill unmet health-related social and care needs for people across the country.
Partnering with GroundGame.Health
At GroundGame.Health, we work to expand the reach of CBOs with reliable expertise, and configurable, easy-to-use social care technology. Our innovative model and interoperable platform — Implify® — give you more time and sustainable funding to do what you do best: help more people, on the ground.
Implify makes it easy for CBOs to track their work, show which gaps they’ve closed, and get that information back to health plans and state systems without any extra administrative work. Because the health plans and states can see which needs have been identified and met, they have the information needed to reimburse CBOs and provide critical, steady funding.
Solutions for delivering social care services
Implify is a HIPAA-compliant, HITRUST-certified platform that seamlessly integrates with other healthcare systems. It ensures a smooth, transparent process from referrals, assessments, and authorizations to care planning, partner referral management, claims submission, and reconciliation.
This includes services like care transitions, Food as Medicine programs, housing support, respite care, homemaker services, home modifications, and state-funded programs such as ECM/CHW in California and SCN Services in New York, and more.
Implify feature highlights
Referrals: Accepts and processes referrals from multiple sources,and also supports manually entering a referral in the system. Additional ability to submit a referral to partner organizations.
Consumer consent: Records consumer consent and details.
Assessments: Supports any screening, assessment, or survey with custom variations that are self-configurable on the platform.
Document management: Includes ability to upload, view, and download documents.
Social care plan: Creates a social care plan that can be shared via multiple communication channels (e.g., text, phone, email, etc.) with individuals, health plans, providers, and end service providers — or others as appropriate.
Volunteer and staff workforce management: Provides mandatory and optional classes, training, testing, and credentialing/certification.
Integration with health plans and state systems: Supports all standard electronic data interchange (EDI) transactions for eligibility, authorization, claims, and claim status checks.
Configuration: Cohort-specific service provider and reporting configuration available.
Training: Online training modules are available for staff to learn how to maximize the use of the platform.
Other administrative capabilities: Includes services such as event management, education, skills, delivery and logistics management, grant management, literacy services for people at risk, and more.
Revenue Cycle Management services
Activity tracking for claims: All activity is tracked within Implify. This set of activities are coalesced into milestones and billable line items for billing both to health plans and to other funding sources, as well as payments to downstream service or fulfillment partners.
Billing: Supports both claims and invoice submissions as required by the health plan or other funding sources (including draw-down submissions for grants).
Payments to downstream entities: Fully supported, including where the downstream payment models are on different contract arrangements from billing.
Reconciliation: Includes reconciliation with electronic funds transfers (EFTs), given the appropriate permissions.
Resubmission: Supports resubmission of claims.
How our CBO partnerships have helped individuals
Real people, real stories.
Maria*
Maria is a 45-year-old woman who speaks Spanish, and needed someone to talk to about sometimes not having enough food for herself and her family. She also had trouble paying her rent and bills. GroundGame.Health help Maria find a place nearby where she could get help paying her rent and bills, and found a food pantry and Maria could access when she needed.
Kevin*
Kevin, 49, suffers from PTSD, and was homeless when our care coordinator reached out. Kevin needed housing, food, and medication support. Our coordinator helped first by ensuring that he had help with food and fuel to stay warm and fed, and arranged support with medications. They then worked to get Kevin on a waiting list for housing, which he eventually secured, ensuring his longer-term well-being.
Sarah*
Sarah is a 50-year-old woman who had difficulty paying for medications, and for food. After we helped Sarah, she said, "GroundGame.Health connected me with a discount program that made my prescriptions more affordable. And they arranged help with my groceries when I needed it."
* The names and likenesses of individuals and the details of their experiences with GroundGame.Health have been altered to protect individual privacy.
Our partnership with USAging
GroundGame.Health is proud to have a partnership with USAging, the national association representing Area Agencies on Aging (AAA) across the country. AAAs are at the forefront of the effort to help older adults and people with disabilities improve their health, maintain independence, and live with dignity in their homes and communities.
GroundGame.Health is honored to work closely with USAging as a strategic partner, as we build more resilient communities and close more gaps in care fort his population. Importantly, we also connect AAAs to sustainable sources of revenue to fund their work.
Get started today
Contact our Partnership Team today to learn more about how Implify can help you optimize your ability to solve social needs and get paid for your work.
There are no fixed costs associated with Implify. GroundGame.Health has a unique revenue share model that aligns with the payments that flow through Implify.
