For Organizations
Nurse-led connected care for your population.
Popula partners with health plans, employers, and care organizations to deliver proactive nurse monitoring, care navigation, and chronic condition support — at scale.
The Gap Between Care and Follow-Through
Access to care is only part of the equation. What happens between visits matters, too.
Patients may leave an appointment with a care plan, referral, medication instructions or follow-up needs—but barriers, fragmented communication and everyday life can make the next step difficult to complete. Popula extends support between visits so fewer important next steps get lost.
Illustrative scenario.
Care gaps don't always begin in the exam room.
They can happen afterward—when a referral isn't scheduled, transportation becomes a barrier, instructions aren't fully understood, a follow-up is missed, health information changes between visits, or no one has visibility into whether the next step actually happened.
Popula gives healthcare organizations an additional layer of support between encounters through nurse-led navigation, proactive outreach, connected health monitoring when appropriate, barrier identification and closed-loop follow-up.
Your clinicians provide the care. Popula helps patients carry the plan forward.
Clinical Visit
Appointment, discharge, or encounter
Popula Between-Visit Support
Engage • Monitor • Navigate • Coordinate • Follow Through
Next Clinical Touchpoint
Follow-up, specialist, or ongoing care
Closing gaps requires more than identifying them.
Transportation, health literacy, fragmented care, competing life demands, caregiver burden and difficulty navigating the healthcare system can all interfere with follow-through. Popula helps organizations identify and address applicable barriers while keeping patients connected to the healthcare professionals and resources already serving them.
Extend your care beyond the visit.
Partner with Popula to add nurse-led navigation, connected care and closed-loop follow-up to the populations you serve.
The gap between visits is where outcomes are lost.
Most chronic condition management happens — or fails to happen — between clinical appointments. Patients go weeks without meaningful support, small problems escalate, and care teams have no visibility until it's too late. Popula closes that gap with nurse-led monitoring and proactive outreach.
80%
of hospital readmissions are potentially preventable with better post-discharge follow-up and monitoring.
6+ weeks
is the average time between primary care visits for patients managing chronic conditions.
3 in 5
adults with chronic conditions report feeling unsupported between clinical appointments.
What Popula delivers for your members.
Our nurse-led model combines connected monitoring technology with human clinical judgment — so your members get consistent, proactive support between visits.
Connected Monitoring
Biometric data from blood pressure cuffs, pulse oximeters, weight scales, and glucose monitors reviewed regularly by dedicated nurses.
Proactive Nurse Outreach
Nurses reach out when readings fall outside review criteria — before small changes become serious events.
Care Navigation
Members get help understanding their care plan, coordinating with their care team, and following through on next steps.
Care Record & Documentation
A longitudinal care record captures monitoring data, nurse interactions, and care coordination activity over time.
Chronic Condition Support
Focused programs for hypertension, diabetes, heart failure, COPD, and other high-prevalence conditions in your population.
Outcomes Reporting
Regular reporting on engagement, clinical trends, escalations, and program outcomes to support your quality and value-based care goals.
Who we work with.
Health Plans & Payers
Support member chronic condition management, reduce avoidable utilization, and improve HEDIS and Stars measures.
Accountable Care Organizations
Close care gaps, reduce readmissions, and support shared savings goals with nurse-led between-visit care.
Employer Groups
Offer employees and dependents proactive chronic condition support as a meaningful, differentiated benefit.
Behavioral Health Organizations
Extend care coordination and monitoring support to members managing co-occurring physical and behavioral health conditions.
Maternal Health Programs
Support postpartum recovery and maternal health monitoring with nurse-led outreach during the critical fourth trimester.
FQHCs & Community Health
Extend your clinical team's reach with scalable nurse monitoring and navigation for underserved populations.
Flexible models built for how you work.
We offer partnership structures that fit your organization's goals, timeline, and risk tolerance.
Population Health Partnership
A per-member-per-month (PMPM) arrangement for ongoing nurse-led monitoring and care navigation across a defined population. Scales with your enrollment.
90-Day Pilot
A fixed-scope pilot with a defined population and a structured outcomes report. Designed to demonstrate value before a broader commitment.
Performance Partnership
An outcomes-linked or shared-savings arrangement for organizations ready to tie program economics to clinical and utilization results.
How we work together.
01
Define Population & Goals
We work with your team to identify the right population, align on clinical and operational goals, and configure the program for your members.
02
Enroll & Onboard
Members are enrolled, devices are shipped, and each member is introduced to their dedicated Popula nurse.
03
Monitor & Engage
Nurses review biometric data regularly and reach out proactively when readings warrant attention or a member needs support.
04
Coordinate & Navigate
Nurses help members follow through on care plans, coordinate with their clinical team, and navigate the healthcare system.
05
Measure & Improve
We provide regular reporting on engagement, clinical trends, and outcomes — and work with your team to continuously improve the program.
Ready to bring nurse-led care to your population?
Tell us about your organization and goals. We'll follow up to schedule a consultation and explore whether Popula is the right fit.
Schedule a Consultation
We typically respond within one business day.