Juliana helps health systems manage multi-morbid, high utilizing patients who drive prolonged hospital stays, fragmented care, and repeated utilization—with a dedicated clinical model designed to improve throughput, coordination, and financial performance.
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Across health systems nationwide, a small percentage of patients account for a disproportionate share of inpatient days, readmissions, and care coordination burden.
These patients often present with repeated and fragmented episodes with overlapping medical, behavioral, and social complexity that stretches traditional hospitalist and case management models beyond their intended scope.
With a small percentage of patients driving disproportionate utilization and coordination burden—the result is familiar across many hospitals:
Health systems need a new approach designed specifically for this level of complexity.
Juliana works alongside hospital leadership, hospitalists, nursing teams, case management, and post-acute partners to provide focused clinical attention and coordination for medically complex patients.
Rather than replacing existing care teams, Juliana strengthens the system around them—adding dedicated capacity and expertise for the patients who require enhanced coordination and continuity of care.
Patients with persistent medical complexity, utilization risk, and discharge barriers are identified using clinical and operational criteria developed with hospital leadership.
Juliana supports hospitals with focused clinical leadership and coordinated care resources that work alongside existing hospital teams.
The model supports coordination across admission, inpatient and observation care, discharge planning, and post-acute transitions.
By reducing fragmentation and improving coordination, hospitals can shorten length of stay, improve discharge stability, and recover valuable bed capacity.
Reduce unnecessary inpatient days created by fragmented coordination and delayed execution.
Free beds for higher-acuity demand and improve patient flow across the hospital.
Support safer and more coordinated transitions for high-risk patients.
Improve margin through capacity recovery and more effective management of complex care.
23%
21%
$19M
6,300+
Based on validated program outcomes and real-world implementation experience.
Additional details available upon request.
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Juliana brings together experienced operators, physicians, and care model leaders focused on improving outcomes for medically complex patients.
Find clear answers to common questions about our care coordination and patient support model.
Schedule a conversation to learn how Juliana can support your organization.
