Built for providers who refuse to lose patients in the transition home.
Unit One Health partners with primary care practices, skilled nursing facilities, ACOs, and hospital discharge teams across Prince William County. Our Discharge Care Management Program (DCMP) delivers high-intensity in-home support during the highest-risk window after discharge — preventing avoidable readmissions and closing the loop with every partner.
Built for your bottom line, too: Documentation designed to support CCM (99490), TCM (99495/99496), and RPM billing workflows, and AVA automated outreach engages patients immediately post-discharge.
Extend your reach beyond the visit. We support your patients at home and coordinate directly with your office.
Learn more →Safer landings from SNF to home with a first in-home visit within 24–48 hours of discharge.
Learn more →Discharge with confidence. One accountable partner for the highest-risk days.
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Send your first referral today — we acknowledge every referral within 4 business hours.
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