Discharges happen every day across hospitals, emergency departments and post-acute settings. Yet follow-up is often delayed by limited cross-network visibility, manual outreach and fragmented coordination, leading to avoidable readmissions, lower quality scores and increased medical spend.

With Bamboo Health’s Automated Transitions solution, organizations can:

• Detect inpatient and ED discharges in real time through Bamboo’s ADT and proprietary data network
• Conduct streamlined AI-enabled outreach
• Facilitate PCP follow-up scheduling with automated tools
• Send automated reminders and confirm appointment attendance
• Escalate complex cases to humans when clinical judgment is required
• Standardize documentation to support quality reporting and compliance

Every missed or delayed diagnosis code can lead to lost revenue, compliance risk and incomplete patient and member care. With Bamboo Health’s Gaps in Coding solution, you can surface validated and more specific diagnostic codes within hours of discharge to enable proactive gap closure and ensure accurate documentation when it matters most.

CMS TEAM regulations require hospitals to manage cost and quality across complex surgical episodes simultaneously. However, inconsistent specialist workflows, limited visibility into patient clinical risk and inadequate post-discharge care optimization and monitoring create operational blind spots at the most critical junctures of patient care. 

Bamboo TEAM Bundles changes the equation. With Real-Time Care Intelligence™ and Radial’s industry-leading predictive analytics, we help hospitals act smarter before, during and after surgery.  

• Prior to Day of Surgery: Capture complete patient complexity early and optimize site-of-care decisions to set the right benchmark from the start.   
• During Surgery, In Facility: Deliver embedded real-time insights to guide smarter surgical and discharge decisions across all service lines.  
• 30-Day Post-Anchor Window: Reduce SNF/IRF spending with AI-driven discharge recommendations, continuously monitor patients across care settings and prevent unnecessary readmissions and emergency department visits. 

Navigate and Connect Physical & Behavioral Health in Real Time.

Individuals with behavioral health conditions drive significantly higher costs and worse outcomes—including 28% higher hospital utilization—placing a greater demand on providers.

Bamboo Bridge® goes beyond real-time insights. Our tech-enabled care navigators proactively identify, assess and engage individuals, connecting them to behavioral healthcare through emergency departments, inpatient and outpatient settings and primary care provider referrals within our curated network using:

• In-Workflow Patient Navigation: Initiate care navigation directly from your electronic health record and admission, discharge and transfer (ADT) notifications—no disruption to clinical workflow.
• Real-Time Transition Visibility: Receive instant updates on patient status and know exactly when care transitions are completed.
• PDMP-Enabled Navigation for Individuals with Substance Use Disorder: Providers can initiate support with the Bamboo Easy Button in their existing workflow, or Bamboo Health can act as a delegate—leveraging PDMP data and alerts to identify risk and guide patients to appropriate care.
• Preventive Roster Review: Care navigators manually assess rosters to identify high utilizers with unmet behavioral health needs, proactively engaging them to close care gaps.

Learn more here.

Enhance Interoperability and Timely Care for Justice-Involved Individuals

Today, there are nearly two million justice-involved individuals in U.S, with these individuals facing three times the rate of mental illness on average. Over 65% of these individuals also meet medical criteria for experiencing substance use disorder, while only 11% receive treatment. 

Bamboo Health’s Justice Involved solution bridges this critical gap by seamlessly connecting health plans, state governments and providers to justice systems. With streamlined alert reporting and real-time booking and release data, individuals receive continuous care and timely assessment of treatment needs. States using Section 1115 waivers to provide expanded Medicaid eligibility for justice-involved individuals can leverage Justice Involved to divert more individuals from incarceration into appropriate care settings.