How do you identify our highest-risk attributed members?

We work with your population health analytics team or claims data partner to flag members with active wound diagnosis codes (L97.x, L89.x, E11.621, I83.x), prior amputation history, ESRD on dialysis, or repeated wound-related ED visits. Outreach is coordinated with the attributed PCP rather than going around them.

What does the impact look like in claims data?

Risk-bearing partners typically see lower wound-related ED utilization, fewer cellulitis and osteomyelitis admissions, and a measurable reduction in major lower-extremity amputations across the engaged cohort. Specific impact depends on baseline mix and engagement rate; we are happy to model expected impact against your population.

Do you accept capitated or per-member-per-month arrangements?

Yes. In addition to standard fee-for-service billing under Medicare Part B and Medicare Advantage, Healix360 supports PMPM wound management agreements, episode-based bundles, and shared-savings arrangements with risk-bearing entities.

How do you protect the PCP relationship?

Our clinicians are consulting wound specialists. The attributed PCP remains the medical home, and after every encounter we send a structured note (wound measurements, photographs, treatment plan, and recommendations) back to them by fax or interoperable EMR.

What geographies do you cover?

We serve listed communities in California. Check our coverage map and confirm the exact patient address and visit availability with our team.

In-Home Wound Care for ACOs & Risk-Bearing Entities

Healix360 reduces total cost of care for ACO REACH entities, MSSP ACOs, and Medicare Advantage plans by closing chronic wounds before they drive ED visits, hospital admissions, and amputations — all delivered in the patient's home.

Roughly 85% of lower-extremity amputations begin with a non-healing wound. Each amputation in a Medicare beneficiary triggers an average of $50,000+ in episode cost, multiple readmissions, and significant downstream skilled nursing utilization. Closing wounds early in the home setting is one of the highest-leverage interventions available to risk-bearing entities.

Reduce Avoidable Utilization

Mobile wound care prevents the cellulitis, osteomyelitis, and sepsis admissions that drive 30-day readmission penalties and inflate per-member-per-month spend. Physician-led debridement and biofilm management at the bedside catch deterioration weeks earlier than scheduled clinic follow-up.

Attribution-Friendly Reporting

Encounter notes, wound measurements, photographs, and outcomes are routed back to the attributed primary care physician after every visit, supporting HCC capture, quality measure documentation, and care plan continuity inside your population health system.

Built for High-Risk Cohorts

We focus on the diabetic, vascular, and post-surgical populations that drive the most variation in your spend. Patients with HbA1c above 9, prior amputation, ESRD on dialysis, or recurrent ED utilization for wound infection are the highest-yield referrals.

Aligned Incentives

Healix360 supports value-based contracting structures including shared savings, episode-of-care bundles, and per-member-per-month wound management arrangements. Our model is built around fewer admissions, not more visits.

Frequently Asked Questions

You Don't Have to Live With a Wound That Won't Heal

Get connected with an experienced wound care specialist today and take the first step toward healing. Most treatments are covered by Medicare Part B.

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