Transitional Care Management
Smoother transitions after a hospital stay
At 2C Health, we understand that transitions in healthcare can be challenging for patients. That's why we offer Transitional Care Management (TCM) services to help make the process smoother and ensure that our patients receive the best possible care.
Care built around every condition
TCM is a set of services designed to help patients transition from one healthcare setting to another, such as from the hospital to home or from a nursing facility to home. Our team works closely with patients and their families to develop a personalized care plan that meets their unique needs.
Our goal with TCM is to help patients achieve the best possible outcomes and prevent unnecessary hospital readmissions.
Talk to our teamKey benefits
Reduce Readmissions
Timely follow-up in the critical 30 days after discharge keeps patients on track.
Coordinated Follow-Up
We schedule visits, reconcile medications, and coordinate across the care team.
Patient Reassurance
Patients get a clear point of contact during a vulnerable transition period.
Compliant Billing
TCM documentation and billing managed for you, start to finish.
Included in TCM
What our TCM program includes
- Medication management
- Follow-up appointments
- Coordination of care between healthcare providers
- Patient education and support
- Help staying on track with the care plan
Up and running in four steps
EMR Integration
We connect to your existing EMR — no disruption to your workflow.
Patient Enrollment
We identify and enroll eligible patients into the program.
Care Delivery
Dedicated care managers deliver continuous, personalized coordination.
Compliant Billing
We handle documentation and billing — you only pay when you get paid.
Let’s Make a Future Together!
Talk to our team about bringing transitional care management to your patients at zero cost.