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PHSRS with MRG Health

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Population Health Stratification & Risk Scoring

Smart Care 360 enables care plan development with monthly communication to
patients and other treating health professionals for patients with at least 1 chronic condition. Principal Care Management (PCM) services are rendered to patients remotely and provide patients with 24/7 access to a clinician, and a monthly care plan and updates.

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Population Health Stratification & Risk Scoring

Specialty, Disease, and Determinants of Health Specific Risk Factor Identification, and Risk Scoring generated through a series of digital health assessments with algorithms, rules engines, and logically tied to the questions and answers that identify specific risk factors that tie to clinical outcomes and create a health index score from 0-25 on each patient.
Risk Factors
  • Body Mass Index
  • Behavioral Health Index
  • Biometric Vital Thresholds
  • PHQ - 9
  • Activities of Daily Living
  • Fall Risk
  • Health Literacy
  • Safe Living Situation
  • Housing Status
  • Transportation
  • Financial Issues
  • Literacy
  • Preventative Screenings
Having the ability to screen patients in just a few minutes capturing needed data to take a proactive preventative approach instead of a reactive treatment-based approach to patients’ health improves compliance and clinical outcomes by connecting the patient with the social services they need and closing the GAPS in care.

Team-Based Care Approach

We cover the full spectrum of qualified healthcare professionals to meet your patient population’s needs ALL in one platform.

Patient-Centered Care Management

Patient first, patient centered care is our priority. We have certain staff to patient ratios so that patients receive the time and care they need each month to improve their health & wellness and prevent chronic episodes or hospital admissions.
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Built-in Patient Education & Gamification Compliance Tools

Delivering Happy HealthCARE!

What is PHSRS?

Population Health Stratification & Risk Scoring (pHSRS) is a data-driven approach used to identify patient risk levels based on health history, conditions, and behaviors. At MRG Health, we use this insight to deliver more targeted, proactive care.

Smarter Care Through Data

With pHSRS, we analyze trends and risk factors across patient populations. This allows us to predict health risks before they become emergencies—leading to earlier interventions and better outcomes.

Personalized Health Insights

Our risk scoring system helps us understand each patient's unique health profile. This ensures that care plans are personalized and focused on preventing complications or costly hospital visits.

Better Resource Allocation

By stratifying patients based on risk, MRG Health can prioritize care where it's needed most. This ensures high-risk patients get immediate attention, while low-risk patients continue to be monitored effectively.

Improving Patient Engagement

Knowing your risk score helps patients become more aware and involved in their care. At MRG Health, we use this as a tool to educate, engage, and empower our patients to take charge of their health.

Advancing Preventive Care

pHSRS is a key part of our commitment to preventive care. By identifying health risks early, MRG Health helps reduce complications, avoid hospitalizations, and improve long-term health outcomes.

Benefits
For Practices
  • Increases revenue by adding $15,000/month for every 400 patients.
  • Scales practice growth without extra working hours.
  • Improves patient compliance and clinical outcomes.
  • Manages non-compliant patients proactively to reduce risks.
  • Invests over $100k in IT, staffing, software, and devices at no cost or risk.
  • Gives you time and freedom to focus on patient care and practice management.
For Patients
  • Tailored care plans to meet your specific health needs.
  • Proactive risk management to prevent complications early.
  • Improved health outcomes through better chronic condition management.
  • Early intervention for high-risk patients to avoid serious issues.
  • Enhanced communication between you and your care team.
  • Ongoing support to help you stay on track with treatments and appointments.

Personalized Patient Care

With PHSRS, your practice can provide customized care plans that address each patient's unique health needs. This approach ensures that high-risk patients receive timely interventions, while low-risk patients maintain regular care, optimizing outcomes for everyone.

Proactive Health Management

PHSRS allows you to monitor patients' health data in real-time, enabling proactive management of chronic conditions. By catching potential issues early, your practice can prevent costly hospital visits and improve long-term health outcomes.

Efficient Resource Allocation

By stratifying patients based on risk, PHSRS helps prioritize resources where they’re most needed. This ensures your practice’s staff focuses on the highest-risk patients, improving efficiency and reducing unnecessary workloads.

Enhanced Patient Outcomes

Tracking clinical outcomes and patient compliance with PHSRS leads to better health results. Regular monitoring ensures that patients stay on track with their care plans, reducing complications and enhancing overall well-being.

No Financial Risk

We invest in the necessary IT, staffing, software, and devices at no cost to your practice. This means you can leverage the benefits of PHSRS without the upfront financial burden, ensuring the service is accessible and risk-free.

Optimizing Care Through Data

PHSRS uses advanced data analytics to assess patient risks, enabling your practice to make more informed, evidence-based decisions. By leveraging this data, you can enhance care strategies and improve patient outcomes.

Interested in learning more about what patients are eligible to participate and how PHSRS is
relevant to your practice?

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New Technologies That Deliver.

MRG Health provides a complete solution that helps improve patient outcomes while increasing practice revenue and cost.

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The Future of Healthcare is Here!

About MRG Health

Revenue Generating Solutions:

Delivering Happy Healthcare ☺
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The Future of Healthcare is Here!

Solutions

  • Revenue Cycle Management
  • Virtual Care Management
  • Chronic Care Management
  • Remote Patient Monitoring
  • Principal Care Management
  • Tramsitional Care Management

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LUCAS KRAUSE
PhD MSC
 IT Infrastructure & Architecture 
Lucas is a 20+ year experience enterprise Cloud Solutions Architect who has worked with fortune 100 companies and is competent in the following: Enterprise API Gateways – AWS | Azure | Salesforce | Mulesoft | Apigee | IBM Cloud | Anypoint | Cloud Data Warehouse – Snowflake | DBT | Cloudara | Airflow | Kubernetes | AWS | Looker | Prometheus | Full-Stack / Cloud Native – C# / Java / React / Angular / Golang / Python – Cloud DBs – Dynamo / Mysql / Postgres / MSSql / Oracle / Netezza
RENE HINOJOSA
MBA
Compliance & Regulatory 
Experienced Director of Strategic Development with a demonstrated history of spearheading initiatives throughout the healthcare system. Skilled in Physician Relations, Software Documentation, Healthcare Management, Healthcare, and Public Speaking. Strong program and project management professional with years of a proven track record that showcases a creative and proficient skill-set in problem solving.
TY UMOH
MD MBA
Investor Relations & Finance 
Ty has a bachelor’s degree in Accounting & Finance from the University of Houston and a Master’s degree in Economics and Corporate Finance from Rice University. Previously, Ty worked as a senior consultant at FTI Consulting, Inc., advising various stakeholders of troubled and distressed companies across a wide range of industries, including financial services, hospitality, gaming, commercial real estate, energy & oil field services, construction, infrastructure, and municipal-related assets. Additionally, my prior experience includes roles at BNY Mellon and Ocean Park Advisors, LLC’s Investment Bank where I was involved in equity and debt capital raising transactions as well as M&A assignments, liquidity forecasting and assessments, business plan due diligence, development of waterfall and recovery analyses, stakeholder negotiations, plan of reorganization development, M&A/transaction advisory including purchase and sale negotiations and seller due diligence support, board/shareholder representation, developing executive compensation/bonus plans, and ad-hoc strategic and operational assessments.
JAVI MALCOLM
MD 
Strategic Development
Dr Malcom’s Medical Professional qualities are based on 10+ yrs. of participation and exposure to numerous resources as an ER Medical Business Co-Founder, IT Market Leader, Mentor, Red Cross Humanitarian Participant, Graduate of Masters Studies, Graduate of Medical Doctorate (M.D.), Hospital Administrator, and member of the Physician Executive Team. My unique background and combination of these attributes & skills have created a unique innovative space that helps reinforce my ability to grasp the different areas of healthcare that positively impact the hospital ecosystem and be a valuable member of the C-Suite team, as DHR Health’s Chief Medical Information Officer, Physician Executive Leadership Committee, and the Cerner Advisory Committee.
Dr. Jill Taylor
DO Pharmacologist
Chief Clinical Officer​

It is important to learn about the doctor with whom you trust your health. A combination of formal education, training, and experience form Dr. Taylor’s credentials, which uniquely qualify her to provide you with the best approach to achieving your optimum health

Here are a few highlights:

  • Specializing in Family Practice. Fully licensed in Texas
  • Graduated New York Institute of Technology, New York College of Osteopathic Medicine 1989
  • Worked in Medical, Drug, and Disease Research for three years as a Pharmacologist
  • Worked in academic medical research for three years
  • Holds patents in Disease Research
  • Has publications in several Medical Journals
  • Speaks Medical Spanish
NARIO CANTU
Pharmacist
Senior Executive Director
Dispensing, assessing and monitoring medications, in patients requiring pharmaceutical therapy. Providing and assessing point of care testing. Providing excellent service and customer satisfaction. Drug information and education. hospital readmission prevention consultant, transition care provider, medication reconciliation provider, pharmacogenomic testing, point of care testing. Medication Therapy Management, medication adherence and legislative advocate as it pertains to pharmacy and patient care.
SABRINA RUNBECK
MPH, MHS, PA-C
Director People & Clinical Outcomes 

Physician Assistant turned Entrepreneur with Bachelor in Neuroscience, Masters in Public Health and Health Sciences, After working 80 hours a week as a cardiothoracic surgery physician associate, my workload took a toll on my personal and professional life. That was when I realized my life needed to change. I ended up taking a deep dive into performance sciences and positive intelligence. As a result, I cut down my clinical hours by 30% and increased my income by 50%.

Reggie Abraham
PhD, MHA, MBA
Managing Director  
UTHealth-MRG Health

Experienced Healthcare Executive with a demonstrated history of working in a hospital setting and various other health care facilities. Skilled in Healthcare Operations, EHR & PM Systems, Budgeting, HR Management, Strategic Planning, and Revenue Cycle Management, . Strong business development professional with a Doctorate in Management and Organizational Leadership, Master’s in Healthcare Administration, Master’s in Business Administration. Exceptional track record of establishing strong leadership teams and developing effective operational efficiencies in healthcare operations. Establish and maintain good working relationships with physicians, staff, vendors, government agencies, managed care companies, and clients.

KYLE CHRISTOPHER
Vascular General, Cardiac, OB Sonography
Founder/CEO - Strategic Development  
Assists Physicians and Healthcare Executives in Leveraging Virtual Care Management Technologies, NEW Billable CPT Codes, and Value Based Care Models to Improve Clinical Outcomes and Create NEW Revenue streams. Kyle holds a Bachelors of Science in Business Administration with a minor in marketing, and a Degree in Vascular, General, Cardiac, and Obstetrical Sonography. His philanthropy work focuses on veteran affairs, single mothers, first responders, and mentoring terminally ill and at-risk youth through organizations such as Beauty for Freedom, Ferrari Kid, Southwest Keys Program, ICON Talks, and Living Beyond A Dream.