Resources
Empowering PALTC Facilities with Knowledge
Learn how Gabby Health's platform and services help post-acute and long-term care facilities improve clinical outcomes, streamline operations, and capture the reimbursements they've earned.
Leadership
Our Founders
The visionaries driving Gabby Health's mission to transform post-acute care.
Admissions Intelligence
Make faster, more informed admission decisions. Gabby Health analyzes referral data, verifies insurance coverage, and evaluates clinical fit — helping your facility accept the right residents with confidence.
- AI-powered referral analysis
- Insurance verification and clinical matching
- Streamlined referral workflow
Chronic Care Management
Deliver structured care coordination for residents with multiple chronic conditions. Gabby Health's CCM platform supports personalized care plans, real-time monitoring, and proactive outreach to improve long-term health stability.
- Personalized care planning and tracking
- Proactive patient engagement
- Supports value-based care outcomes
Remote Patient Monitoring
Detect changes in patient condition before they become crises. Gabby Health's device agnostic RPM platform delivers real-time monitoring, AI-powered alerts, and continuous care team visibility into resident health data.
- Device agnostic — works with any IoMT hardware
- AI-driven risk alerts and trend detection
- Continuous real-time monitoring
AI Risk Management
Manage risk across the entire patient journey — from pre-admission screening through ongoing care. Gabby Health's AI identifies the right patients, collects complete records, and monitors for early signs of deterioration.
- Patient journey framework (5 stages)
- Comprehensive pre-admission screening
- Continuous monitoring and documentation insights
Telehealth
Connect residents with physicians and care teams through secure virtual consultations — without leaving the facility. Integrated clinical data gives physicians the full picture for every session.
- Virtual physician consultations
- Integrated clinical data in every session
- Multi-party care team collaboration
Transitional Care Management
Support patients through the critical transition from hospital discharge to full recovery. Gabby Health's TCM program delivers RN-led outreach, appointment coordination, and structured follow-up to reduce readmissions.
- RN-led post-discharge outreach within 2 days
- Appointment coordination and follow-up
- Minimal impact on inpatient teams
Quality & Outcomes
How Gabby Health Supports Quality Outcomes
Every Gabby Health service is designed to drive measurable improvements in resident care quality. By connecting clinical data, care coordination, and AI-powered insights, facilities can move from reactive to proactive care — and demonstrate results.
- Reduce avoidable hospital readmissions through earlier detection and proactive intervention
- Track and report on clinical outcomes over time to support quality measure compliance
- Align care delivery with value-based care models and outcome-based performance goals
- Ensure complete, accurate documentation that reflects the true complexity of care delivered
- Improve coordination between care teams, physicians, specialists, and families
Reimbursement
Helping Facilities Capture the Reimbursements They've Earned
Many PALTC facilities leave reimbursements on the table — not because they aren't delivering excellent care, but because their documentation and data don't fully reflect it. Gabby Health helps close that gap.
Complete Documentation
AI-powered tools continuously scan for documentation gaps and inconsistencies, helping facilities capture the full complexity of care in their clinical records.
Accurate Care Classification
Gabby Health provides insights that help facilities align their documentation with the appropriate care classification — ensuring reimbursements match the level of care provided.
Performance Visibility
Real-time dashboards give administrators visibility into documentation completeness, care coordination activity, and program compliance — so nothing falls through the cracks.
Compliance Support
Built-in tracking for quality measures, time documentation, and regulatory requirements helps facilities stay compliant and audit-ready at all times.
Program Optimization
Gabby Health helps facilities identify opportunities to expand and optimize their CCM, RPM, and TCM programs — enrolling more eligible patients and improving program performance.
AI-Driven Insights
Intelligent recommendations surface opportunities that manual processes miss — from under-documented conditions to patients eligible for additional care programs.
Learn More
Educational Resources
Practical guides and insights to help your facility get the most from modern care coordination technology.
Guide
Understanding Chronic Care Management in PALTC Settings
A comprehensive overview of what CCM means for post-acute and long-term care facilities — including eligibility, program structure, and how it supports better resident outcomes.
- What CCM is and who qualifies
- How structured care coordination improves chronic condition management
- Connecting CCM data to value-based care reporting
Guide
Remote Patient Monitoring: Beyond the Devices
RPM is more than hardware. Learn how AI-powered monitoring, device agnostic platforms, and proactive alerts work together to detect patient deterioration before it becomes a crisis.
- Why device agnostic matters for your facility
- How AI turns device data into actionable insights
- Building an RPM program that scales
Insight
The Patient Journey: Managing Risk from Admission to Ongoing Care
Explore the five critical stages of the patient journey and how AI-powered risk management helps PALTC facilities make better decisions at every step — from identifying the right patients to monitoring their progress.
- Pre-admission screening and record collection
- Understanding patient needs before they arrive
- Continuous monitoring and documentation alignment
Insight
Transitional Care: Reducing Readmissions Through Coordinated Follow-Up
Hospital-to-facility transitions are one of the highest-risk moments in a patient’s care journey. Learn how structured TCM programs with RN-led outreach help prevent avoidable readmissions.
- Why the first 48 hours post-discharge are critical
- The RN-led model and how it works
- Coordinating appointments and follow-up care
See how Gabby Health transforms clinical data into smarter decisions.
Request a DemoFrequently Asked Questions
How does Gabby Health help improve reimbursements?
Gabby Health improves reimbursements by ensuring accurate documentation, better coding, and data-driven insights across the patient journey.
The platform:
- Identifies documentation gaps that impact billing
- Provides PDPM insights for accurate classification
- Aligns clinical data with reimbursement requirements
- Supports audit-ready reporting
AI-driven tools help facilities capture the full value of services provided, which is critical in value-based care models.
What types of facilities does Gabby Health serve?
Gabby Health is designed for post-acute and long-term care providers, including:
- Skilled Nursing Facilities (SNFs)
- PACE programs (Programs of All-Inclusive Care for the Elderly)
- Rehabilitation and transitional care providers
- Long-term care organizations
These facilities benefit from improved care coordination, operational efficiency, and reimbursement optimization.
Can Gabby Health integrate with our existing EHR system?
Yes, Gabby Health integrates with existing EHR/EMR systems to ensure seamless data flow.
This enables:
- Centralized patient information
- Reduced manual data entry
- Real-time clinical insights
- Improved workflow efficiency
Integration allows facilities to enhance their current systems without disruption.
How does the platform support quality measure reporting?
Gabby Health supports quality reporting by providing real-time visibility into clinical and operational metrics.
It helps by:
- Tracking key quality indicators
- Highlighting care gaps and risk areas
- Generating actionable insights for improvement
- Supporting compliance with reporting standards
AI-driven analytics can surface trends and risks early, helping improve patient outcomes and quality scores.
Is Gabby Health secure and compliant with healthcare regulations?
Yes, Gabby Health is built with security and compliance as a priority.
The platform includes:
- Secure data encryption
- Role-based access controls
- Compliance with healthcare privacy standards (e.g., HIPAA-aligned practices)
- Audit-ready data management
This ensures patient data is protected while meeting regulatory requirements.
Can we use multiple Gabby Health services together?
Yes, Gabby Health is designed as a connected platform, allowing multiple services to work together seamlessly.
Facilities can combine:
- CCM (Chronic Care Management)
- RPM (Remote Patient Monitoring)
- TCM (Transitional Care Management)
- Telehealth
- Admissions and risk management tools
Using these services together creates a unified care ecosystem, improving outcomes, efficiency, and financial performance.