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MetaPhy Health, a leading care management provider in the gastrointestinal (GI) space, has successfully transformed care delivery for patients with chronic conditions by leveraging ThoroughCare’s care coordination platform.
Through a combination of Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and advanced healthcare Analytics, MetaPhy Health is improving patient outcomes, increasing operational efficiency, and helping physician practices succeed in value-based care models.
About MetaPhy Health
Founded in 2017 as a diagnostic services company, MetaPhy Health quickly identified a growing need for proactive chronic disease management—particularly in gastroenterology.
Under the leadership of CEO Rick Jacques, the company transitioned to delivering Chronic Care Management services for GI practices nationwide.
Today, MetaPhy Health:
- Partners with 42+ physician groups
- Supports 20,000+ patients
- Focuses on chronic GI conditions such as fatty liver disease
- Provides scalable care management infrastructure for specialty practices
With chronic disease on the rise—especially conditions requiring continuous monitoring—MetaPhy Health helps providers deliver consistent, high-quality care between visits.
The Challenge: Scaling Care for Chronic GI Conditions
Gastroenterology practices face unique challenges:
- Limited time for patient follow-up
- Increasing prevalence of chronic conditions like fatty liver disease
- Need for continuous monitoring and patient engagement
- Pressure to meet value-based care metrics
To address these challenges, MetaPhy Health needed a platform that could:
- Support scalable care coordination
- Enable evidence-based care planning
- Deliver actionable analytics
- Ensure compliance with CMS requirements
The Solution: ThoroughCare’s Care Coordination Platform
MetaPhy Health partnered early with ThoroughCare to build and scale its care management programs.
Using ThoroughCare, the company expanded from CCM into a more comprehensive care model that includes:
- Chronic Care Management (CCM)
- Remote Patient Monitoring (RPM)
- Data-driven performance Analytics
"When we first started with ThoroughCare, we had a couple hundred patients, we're no over 24,000 patients." — Todd Shafer, Senior Vice President of Operations and Administration, MetaPhy Health
Key Capabilities Driving Success
1. Evidence-Based Clinical Assessments
MetaPhy Health clinicians use interactive assessments and guided workflows to:
- Develop personalized care plans
- Identify patient risks and barriers
- Deliver consistent, evidence-based interventions
This structured approach ensures higher-quality care and better patient outcomes.
2. Advanced Healthcare Analytics
With ThoroughCare Analytics, MetaPhy Health gains real-time visibility into:
- Patient engagement metrics
- Care plan progress
- Operational performance
- Financial outcomes
These insights allow leadership to make informed decisions and continuously optimize care delivery.
“We utilize ThoroughCare on an enterprise perspective. We have 50 different practices within ThoroughCare and we're able to analyze on a monthly, weekly, and daily basis to determine if we’re delivering optimal care and meeting our goals.” — Todd Schafer, SVP of Operations
3. Streamlined Care Coordination & Compliance
ThoroughCare centralizes all care management activities into a single platform:
- Simplified workflows for care coordinators
- Automated documentation for compliance
- Audit-ready records for CMS requirements
This reduces administrative burden while improving service delivery.
"Each of our care managers manage 265 patients monthly in ThoroughCare." — Ashley Stanley, Director of Clinical Operations, MetaPhy Health
4. Patient Engagement & Education Tools
MetaPhy Health empowers patients through:
- Interactive assessments
- Educational content
- Ongoing communication between visits
This leads to:
- Better self-management
- Higher engagement rates
- Improved long-term outcomes
Driving Performance, Quality, and Physician Value
MetaPhy Health uses data to demonstrate program success to physician partners by tracking:
- Time spent with patients
- Goal completion rates
- Risk identification and intervention
- Patient adherence
According to Lisa Harris, this transparency allows providers to:
- Measure ROI
- Identify gaps in care
- Improve patient outcomes
Supporting Value-Based Care in Gastroenterology
MetaPhy Health goes beyond minimum CCM requirements (20 minutes/month) to deliver meaningful patient engagement and outcomes.
By combining:
- Evidence-based care plans
- Continuous monitoring (RPM)
- Data-driven insights
The company helps practices succeed in value-based care models, where outcomes—not volume—define success.
“We've built Metaphy Health to add clinical, operational, and financial value to a GI practice. And ThoroughCare's been with us every step of the way.” — Chris Oubre, President & COO, MetaPhy Health
Results: Scalable, Patient-Centered Care
By leveraging ThoroughCare, MetaPhy Health has:
- Scaled care management across thousands of patients
- Improved chronic disease outcomes
- Enhanced operational efficiency
- Strengthened physician partnerships
- Positioned itself for long-term success in value-based care
FAQ: Chronic Care Management for GI Practices
What is Chronic Care Management (CCM)?
Chronic Care Management (CCM) is a Medicare-supported service that provides ongoing care coordination for patients with two or more chronic conditions.
How does Remote Patient Monitoring (RPM) support GI patients?
RPM allows providers to track patient health data between visits, enabling early intervention and better disease management.
Why is care coordination important in gastroenterology?
GI conditions often require long-term management. Care coordination ensures patients receive consistent support, education, and follow-up care.
How does analytics improve care management programs?
Analytics help providers track outcomes, identify risks, optimize workflows, and demonstrate value to stakeholders.
What are the benefits of value-based care?
Value-based care focuses on improving patient outcomes while reducing costs, rewarding providers for quality rather than volume.
Learn More
Discover how MetaPhy Health and ThoroughCare are transforming chronic care management in gastroenterology.
👉 Download the full case study or explore the platform to see how it can scale your care programs.
