Put Yourself
in the Driver’s Seat
with CTI® and CTI+
to Secure More Revenue
for Your AAA

Generate income from your Care Transitions Intervention® in 30 days!


Start Driving Revenue Today

More Revenue, More Impact

You work hard for your agency, braiding, blending, and bending your restricted dollars to keep programs running while supporting the growing number of aging adults in your community. And it can feel like you’re at the mercy of others when you must rely on fickle funding streams—from limited grants to dwindling state and federal funding—to keep your program running year after year. It can feel like an uphill battle, and though you’re passionate about your work, you sometimes wonder why you even bother.

Together, Care Transitions Intervention® and CTI+ create a triple win for your AAA.

  • The win of sustainable and increasing revenue and growth for aging networks. The average reimbursement per client can range from $450 to $700 per episode of care.

  • The win of better patient outcomes. Transitions Coaches® empower clients toward skill development to improve health outcomes after a medical event. Reduced admission rates are demonstrated 6 months past the intervention."

  • The win of more cost-effective care. For more than 15 years, the Care Transitions Intervention®  (CTI®) has produced evidence-based outcomes to improve individual health, including up to 72% reduction in hospital readmissions and unnecessary ED visits. With an average cost of $15,200¹ per readmission, reduced rates create the potential for millions of dollars in savings.
AAA triple win logo

The CTI & CTI+ Triple Wins Start with You

 Book a Call to Start the Transformation

From Waiting to Driving

Purpose-built tools will take you from…

  • Tracking and managing client data and key performance indicators (KPIs) in multiple places.

  • Hustling and scraping together applications to secure grants and federal and state funding.

  • Being excluded from the table because you can't easily share program data with health providers and payers.

  • Guessing at the needs of your community.

  • On your own to learn and improve programs.

To:

  • Tracking and managing data in one place to create actionable dashboards.

  • Invoicing for eligible services to create sustainable revenue.

  • Sharing data securely and easily between your AAA and health providers and payers—and finally getting a seat at the table to make health recommendations for your community.

  • Using data to identify care and intervention gaps in your community.

  • Receiving experts support from a community learning network and trainers.
Transfrorm Your Agency
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Enter Care Transitions Intervention® and CTI+

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The 30-day evidence-based Care Transitions Interventions uses certified Transitions Coaches to improve health outcomes for clients during a transition from facility to home, reducing admission rates and high-cost utilization for health providers, systems, and payers. Agencies use CTI as a natural bridge between clinical care and social care. The CTI+ software is the only certified, purpose-built solution that supports the certified Care Transitions Intervention® program.

This powerful combination is for the AAA that wants to:

  • Create sustainable, restriction-free revenue

  • Make client data actionable

  • Modernize their organization by converting manual processes to digital
That's Me!

Results in 30 days, and beyond

Phase One: Find

Work with an implementation expert to “find out” how to implement the certified Care Transitions Intervention® program and technology based on your organization’s needs and your unique workflows.

Phase Two: Treat

Begin providing the Skill Transfer Model® from Certified Transitions Coaches® to your clients. This includes the 12 key health self-management skills within the Four Pillars® that are proven to increase client activation, health literacy,  and confidence within the 30-day intervention and beyond.

Phase Three: Measure

With CTI+, measure and track outcomes to see immediate and long-term empowerment benefits. Collect data needed for payer contracts to start claiming reimbursement

Phase Three: Connect

The fully interoperable CTI+ technology connects to health organizations, funders, and payers systems, allowing your AAA to connect coach data to the larger health team to demonstrate work and bill for services. Your organization can connect and integrate multiple care models into your communities with that additional revenue.

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Real Partners Securing Wins

The fully interoperable CTI+ technology connects to health organizations, funders, and payers systems, allowing your AAA to connect coach data to the larger health team to demonstrate work and bill for services. Your organization can connect and integrate multiple care models into your communities with that additional revenue.

"The fully interoperable CTI+ technology connects to health organizations, funders, and payers systems, allowing your AAA to connect coach data to the larger health team to demonstrate work and bill for services. Your organization can connect and integrate multiple care models into your communities with that additional revenue."
Lynn Schemmer-Valleau, Community Services Program Manager, Multnomah County Aging, Disability & Veterans Services

About CCS Health

CCS Health™ is a social good company that for more than a decade has assisted and partnered with community-based workforces, agencies, and groups through training and technology to improve outcomes for statewide, regional, and community social health initiatives. It is also the proud steward of the esteemed evidence-based Care Transitions Intervention®. CCS Health is the incubator and national implementer of the Community HUB concept, designed to prove its community impact through sustainability, efficiency, connectivity, and performance. CCS Health exists to assist communities in health transformation.
Partner with CCS Health to Secure Your Triple Win

¹Beauvais, B., Whitaker, Z., Kim, F., & Anderson, B. (2022). Is the hospital value-based purchasing program associated with reduced hospital readmissions? Journal of Multidisciplinary Healthcare, 15, 1089–1099. https://doi.org/10.2147/jmdh.s358733