Our patient-centered care model uses a team based approach to work collaboratively with providers on care delivery transformation that is tailored to their individual needs. Transform Health MD is experienced in assisting primary care providers in Maryland achieve the necessary care transformation requirements to reduce healthcare costs and utilization while improving quality of care and patient satisfaction. We provide: Support from practice transformation, care management, pharmacy, social work and behavioral health team members who work synergistically with practices to help transform their delivery of care Risk stratified care management and coordination for patients to ensure their individual needs are met across the care continuum Optimization of workflows and use of data analytics to identify gaps in care and increase efficiency A connection to the University of Maryland Medical System to help align care coordination across the care continuum