Better outcomes, increased revenue
GroundGame.Health is your partner in amplifying your practice revenue through the delivery of CHI services to your Medicare beneficiaries.

Improving the lives of your patients has never been so rewarding

Unmet health-related social needs (HRSNs) — such as food insecurity, inadequate transportation, housing issues, difficulty paying for utilities, and more — are known barriers to care, and contributors to poor health outcomes. That’s why the Centers for Medicare & Medicaid Services (CMS) launched Community Health Integration (CHI) services reimbursement for providers, supporting proactive, non-face-to-face patient care that addresses these needs.
GroundGame.Health is your partner to amplify your practice revenue through the delivery of CHI services for your Medicare beneficiaries. As a CHI services partner, we work with providers across the country to solve unmet social care needs for patients.
Who is GroundGame.Health? For more than seven years, we’ve worked with health plans nationwide to solve unmet social needs. Now, we bring our unique model to providers, applying our proven expertise and track record of success. We provide care coordination and HRSN interventions for your patients who need them, leveraging our extensive social care network and national footprint.
Best of all, there is no interruption to your existing workflow to partner with us. Once we’ve resolved social needs for a patient, our HITRUST-certified platform uploads appropriate documentation and billing codes directly into your electronic health record (EHR) system, making it simple and easy for you to submit for, and receive, CHI services reimbursement.
Why GroundGame.Health?
As your CHI partner, our proven solution delivers true value.

Improved clinical outcomes
Solving social needs removes barriers that prevent patients from taking actions toward better health and well-being.

Incremental revenue
Solving social needs enables providers to participate in available incentive payments.

No workflow changes required
Partnering with GroundGame.Health requires no changes to your existing provider workflows.
Solving real problems; delivering real results
There’s no question that preventative care is essential. Studies indicate that nearly two-thirds of people* admit to skipping important exams and screenings. More alarming, some 94% of Americans face barriers to timely screenings* that can include social needs like transportation challenges.
Meanwhile, 14 percent of Medicare beneficiaries age 65 or older say they skip taking or sometimes do not even fill their prescriptions because of the expense.*
In our own work on the ground, we've found that the people we engage with often have multiple needs. In fact, in our work, we've found that on average they have 3.4 unmet social needs including social isolation, inadequate transportation, food insecurity, housing issues (such as accessibility and safety), caregiver support, financial challenges, and many more.
At GroundGame.Health, we work to address these barriers. To date, we've worked with over 2.1 million individuals, and solved over 350,000 social and healthcare needs. And now, we're ready to solve these needs for your patients.
* Details on request.

Our CHI process
Our simple, five-step process enables you to realize the compelling benefits of working with GroundGame.Health — improved clinical outcomes and incremental revenue opportunities without requiring changes to your workflow.

Assessment
During visits, patients complete an SDOH risk assessment. If needs are identified, provider bills CMS for the assessment.

Referral
Referrals are sent to GGH for patients in need of CHI services.

Navigation
GGH provides navigation services to patients to resolve social needs.

Coding
GGH generates billing codes, and sends them back to the provider through their EHR.

Billing
Provider bills CMS for navigation services.
How we’ve solved the social needs of patients
Real people, real stories.

Roberta*
Roberta, a single parent of young son, struggled to find stable housing and enough food. When her health plan contacted her about routine exams that she’d missed, her situation came to light, and she was referred to GroundGame.Health. Our care coordinator, Tiara, worked to identify and provide resources to Roberta. She said that Tiara was “giving me a leg up in the game” by ensuring that she now had secure housing and reliable food support.

Chantel*
Chantel is a 39-year-old woman who has noted noticeable changes in her eyesight. Additionally, she's eager to engage with a dietician or nutritionist to establish a healthier lifestyle. We helped Chantel find an optometrist covered by her insurance so she could receive an eye exam. We also directed her to a local resource that could help her work toward a healthier diet and better lifestyle choices.

Randy*
Randy, 75, had mobility issues, as his rollator was both too small, and in disrepair. Also, his caregiver was unreliable, and his cell phone was not working — making it impossible to seek help. Our care coordinator intervened, arranging a new rollator prescription, and helping source a new one. She intervened with the care agency on his behalf, and also arranged for a new phone. The support has led to a much better quality of life for Randy.
* The names and likenesses of individuals and the details of their experiences with GroundGame.Health have been altered to protect individual privacy.