Care Transition Support
Managing handoffs between care settings
Ensuring nothing falls through the cracks when care moves from one setting to another
Why do care transitions matter?
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Healthcare failures disproportionately happen during transitions—hospital to home, specialist to primary care, one treatment phase to the next. Information gets lost, medications get confused, follow-up appointments don't get scheduled. Weltrio manages these handoffs to ensure continuity.
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See where your benefit plan is leaking
Find out what gaps exist — and what you can do without changing your plan.
We'll show you where money is leaking, risks are growing, and what you can fix within your current structure. No pressure to change brokers, carriers, or benefit design. Just clarity.
- Gap analysis based on your actual plan structure
- Clear findings you can share with your broker
- Recommendations that layer on — no disruption required
Hospital Discharge Coordination
When employees leave the hospital, we ensure discharge instructions are understood, medications are obtained, follow-up appointments are scheduled, and home care needs are addressed.
Provider-to-Provider Communication
We facilitate information flow between providers—ensuring test results, clinical notes, and recommendations actually reach the next physician in the care chain.
Medication Reconciliation
Transitions often involve medication changes. We help employees understand what's changed, why, and how to manage new medication regimens safely.
Follow-Up Scheduling
Post-transition follow-up appointments are critical but often don't happen. We schedule them before patients leave the hospital and confirm they're completed.
What is Care Transition Support?
Care Transition Support is the service that manages handoffs as patients move between different care settings, providers, or treatment phases.
Transitions include hospital discharge, emergency room follow-up, specialist-to-primary care handoffs, post-surgery recovery, and any other point where responsibility for care shifts.
These transitions are high-risk moments. Without active management, critical information gets lost, medications get confused, and follow-up falls through. Transition support prevents these failures.
Why Are Care Transitions So Risky?
Most employers renew their health plans year after year without questioning the underlying assumptions. Brokers present options, carriers set rates, and leadership approves budgets based on incomplete information.
The result? Companies overpay for benefits employees don't use while missing coverage gaps that create real risk. They accept premium increases as inevitable rather than addressable. They lack visibility into where their money actually goes.
A Healthcare Risk Assessment changes that. It gives you the data and insight to make informed decisions, negotiate from a position of strength, and take control of one of your largest operating expenses.
How It Works
Care transition support activates whenever patients move between care settings.
Transition Notification
We're notified when employees face care transitions—hospital admission, upcoming surgery, or significant care setting changes.
Pre-Transition Planning
Before the transition, we identify needs: follow-up appointments, medication coordination, home care requirements, family communication.
Handoff Management
During the transition, we ensure information transfers, medications are reconciled, and the receiving setting has everything needed.
Post-Transition Follow-Up
After the transition, we confirm appointments happen, medications are working, and any emerging issues are caught early.
When is Care Transition Support Most Critical?
Transitions vary in risk. Highest-risk situations include:
• Hospital discharge—especially after significant illness or surgery
• Emergency room visits—follow-up often falls through
• New specialist involvement—complex care coordination begins
• Surgery recovery—post-operative needs require coordination
• Rehab facility discharge—continuing care at home
• Changes in treatment approach—new medications or therapies
Lower-risk transitions still benefit from support, but resources are prioritized for high-risk situations.
Where Does Transition Support Apply?
Transition support applies to any care setting change:
• Hospital to home
• Hospital to rehabilitation facility
• Emergency room to follow-up care
• Primary care to specialist and back
• Inpatient to outpatient treatment
• One specialist to another
Wherever care responsibility shifts, transition support helps ensure continuity.
Who Benefits Most from Transition Support?
While all transitions benefit from support, certain groups face higher risks:
• Elderly employees and dependents—more vulnerable to transition failures
• Those with multiple chronic conditions—complex medication and care needs
• Employees living alone—less informal support for transitions
• Anyone with recent hospitalization—highest-risk transition period
• Post-surgical patients—recovery requires careful coordination
• Those with cognitive or language barriers—higher confusion risk
See What Our Customers Are Saying
"What could have been data driven, was soon a conversation. Over 3 years with the best coaches, listeners, advisors you could ask for. If Monique didn't have an answer readily, she would note it, research it, and then update you on the answer. Always a positive meeting. Highly recommend!"
— Sue D.
“Our Medical Insurance Premiums were Out of Control! Thanks to Weltrio and their amazing team of healthcare experts, Weltrio is my single most-profitable cost center!”
— Cayuse CEO
Everything You Need to Know
At Weltrio, we are a medically trained team that works with HR and benefits partners at companies of all sizes to improve healthcare quality, reduce risk exposure, and optimize costs. We work within your existing plan structure—providing employers with clarity, trust, and transparency at every step. Whether you're upgrading your benefits plan or building from scratch, we've got you covered.
Is this the same as telemedicine?
No. Clinical support provides guidance and triage, not diagnosis or treatment. We help employees decide when and where to seek care.How many nurses will be assigned to our company?
Assignment depends on your company size and typical utilization. Smaller companies may share a primary nurse with backup coverage. Larger organizations get dedicated teams. Either way, employees experience consistent relationships with clinical professionals who know them.Who answers calls in the middle of the night?
Board-certified nurses from your Weltrio clinical team. We staff night shifts with experienced nurses who have full access to your company's benefits information and employee interaction history. It's not an outsourced answering service.What protocols do nurses use for triage?
Our nurses use evidence-based clinical decision support protocols developed from emergency medicine and primary care best practices. These protocols are regularly updated based on current medical guidelines and are customized for telephone/virtual assessment settings.How much does an unnecessary ER visit actually cost?
Average ER visits cost $2,200 or more—even for minor issues. Add lab work, imaging, or specialist consultation and costs climb quickly. The same conditions treated at urgent care typically cost $150-300, and telehealth visits run $50-75.
