Transitions of Care - Stellar Health

The patient journey from hospital to home is a critical and costly gap in healthcare. Fragmentation and manual workflows in transitional care often lead to missed follow-ups, avoidable readmissions, and a lack of visibility across provider networks. Our product is designed to tackle this challenge.

We enable providers to manage patients in a digital, timely, and engaging manner throughout their admission journey.

Core capabilities

ADT integration

Aligned incentives

Timely notifications

Our Approach

How Stellar enables effective transitional care

for outcomes

Reduce avoidable readmissions

Our product empowers providers to manage patients in a digital, timely, and engaging way. By rewarding key actions proven to prevent high-cost readmissions, we help improve patient outcomes and reduce Total Cost of Care at scale.

for efficiency

Streamline workflows

We take the guesswork out of patient management. By integrating with ADT feeds, we surface actionable notifications in an easy-to-use workflow within the Stellar platform. This eliminates the need for manual tracking and provides a centralized place to deliver care.

for scale

Ensure comprehensive coverage

No patient should fall through the cracks. We provide a more complete view of patient populations, identifying eligible members who are often missed, like those admitted while away from home. This ensures every eligible patient receives necessary care and minimizes patient risk across networks.

Product Engagement

60.2%

patient engagement post-inpatient discharge action completion rate*

*based on average 2025 YTD data from medical groups piloting product

See how we're transforming transitional care at scale

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