How Rezilient's hybrid model outperforms traditional primary care

Breaking the 90th percentile to set a new standard for clinical outcomes

When we first evaluated the concept of our hybrid care model where all care interactions are remote, whether they were via telehealth or in person at the CloudClinics, our first goal was to maintain high quality care without the doctor in the room. As we built out the model, it became very clear that not only can we do it, that in many ways is significantly better.

By digitizing the doctor-patient interaction, we actually are able to bring in whichever doctor is needed to solve the problem.

We can then parse that information, store it, and use it to provide better quality care. Additionally, by showing the patient what the doctor is seeing through the connected devices in the CloudClinics, we’re also getting more buy-in from the patient, leading to shared decision-making and shared accountability.

This report aims to demonstrate our value-based clinical outcomes by benchmarking them against national standards for in-person care.

All the pieces to our performance as a care provider matter. In our value-based care approach, aligning providers and patients within the business model is critical: having salaried providers who don’t rely on making extra money by increasing the number of appointments per day means those providers then get to practice medicine without any sort of financial barrier or incentive; and removing copays for patients creates more engagement because they’re using the system without any financial barriers.

The fact that none of our patients have seen a doctor in person, and that our remote providers are performing better than 90th percentile of in-person providers is an incredible achievement.

Not only for the excellent providers that see patients at Rezilient, but also for the care delivery system that we’ve built. Americans deserve nothing less than high-quality healthcare, and we hope Rezilient’s results can inspire a path forward for other providers.

Danish Nagda, MD

Rezilient CEO and Co-Founder

Rezilient’s rank against national benchmarks
Measure
Range*
90th Percentile*
Rezilient 2024

Asthma Medication Ratio

55-95%

91%

95%

Controlling High Blood Pressure

0-87%

74%

89%

Colorectal Cancer Screening

6-94%

67%

87%

HbA1c Control < 8.0%

0-80%

69%

88%

HbA1c Poor Control > 9.0%

16-100%

20%

4%

Immunizations for Adolescents

0-76%

46%

83%

Acute Hospital Utilization

0-174 PTMY

18 PTMY

15 PTMY

Emergency Department Utilization

19-817 PTMY

107 PTMY

32 PTMY

*Range and percentiles based on National Clinical Quality Association Primary Care DataSet

How we collect and benchmark the data

The National Committee for Quality Assurance (NCQA)’s Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools.

HEDIS allows Rezilient to benchmark our care outcomes against national standards. More than 235 million people are enrolled in plans that report HEDIS results.

Our calculations come from using the standardized definitions set by NCQA.

HEDIS includes more than 90 measures across 6 domains of care:

- Effectiveness of care

- Access/availability of care

- Experience of care

- Utilization and risk adjusted utilization

- Health plan descriptive information

- Measures reported using electronic clinical data systems

Download the full 2024 Clinical Outcomes Report

Want to dive deeper than the preview here? Get more data and commentary in the full report.

Patient experience matters too

Patient experience is a crucial measure in provider performance, which is why Rezilient distributes an NPS survey to every member after their CloudClinic or telehealth visit.

Our current NPS score is 95/100.
Rezilient NPS testimonials

“Everything about the experience was great! I didn’t feel rushed; very clean office. I felt like I was being heard.”

"The medic and nurse practitioner were so very nice, easy to talk to, listened to my concerns and were very engaged with me.”

"I love my doctor visits from beginning to end!  The staff is beyond friendly, my practitioner is friendly with a lovely bedside manner, even though it’s a virtual/physical visit.  I also like the quick responsiveness via the patient portal."

"It was a warm and welcoming environment. Every member of the staff was kind. I felt Katie’s approach was great, she took the time to listen to me and my specific needs.”

“The staff always handle my concerns with care. I feel welcome at this facility.”

“The service that they provide is like none other that I’ve ever experienced they were really great fast and accurate I would truly recommend them to the world.”

“Appointments are extremely convenient and the entire staff is helpful. My wife was diagnosed with strep and my daughter and I were able to get a last minute appointment on a Friday to get a test as a precaution. Having that piece of mind heading into a weekend with an impending winter storm is much appreciated.”

CloudClinics are the core of our model

Our doctors are beamed into our CloudClinics where our medics become their hands using connected digital devices, allowing every doctor to be available at every CloudClinic. Members can also access their care team via at-home telehealth, and 24/7 asynchronous messaging.

Additionally, by showing the patient what the doctor is seeing through the connected devices in the CloudClinics, we achieve more buy-in from the patient, leading to shared decision-making and shared accountability.

The uncoupling of the doctor from the real estate to integrate virtual and physical care dramatically improves access and patient outcomes. Removing financial barriers to care increases preventative care utilization and further improves outcomes, while reducing healthcare spend on costly downstream care such as ER visits and hospitalizations.

Our integrated multispecialty care roadmap

Building on our foundation of proven high-quality primary care, in 2025/26 we will be rolling out several specialty care programs that members can access via the same CloudClinics and telehealth they already know and love.

We’re transforming specialty care by bringing everything under one roof: our integrated specialists working alongside our exceptional primary care teams.

Our members will get direct access to integrated musculoskeletal health, medical weight loss, gastrointestinal, women’s health, and psychiatry specialists when they need it most, while we continue to reduce costs and eliminate barriers to care with our value-based model.

Download the full 2024 Clinical Outcomes Report

Want to dive deeper than the preview here? Get more data and commentary in the full report.