Question 1

How does Tile Health's AI automation differ from Phamily's staffing model?

Accepted Answer

Tile Health uses autonomous AI to handle patient engagement via phone, requiring zero additional staff to manage calls. Phamily provides a software platform to augment existing care managers, which still requires your practice to hire or outsource human staff for most patient interactions.

Question 2

Can Phamily's AI handle enrollment without a human care manager?

Accepted Answer

No, Phamily is designed as a productivity tool for humans. While it uses AI to prioritize tasks, a human care manager is typically needed to finalize enrollments. In contrast, Tile Health's AI can autonomously navigate the entire enrollment dialogue and capture consent.

Question 3

Which platform requires more practice resources for APCM?

Accepted Answer

Phamily requires significant human resources, as you must staff care managers to utilize their software. Tile Health functions as a turnkey AI call center solution, significantly reducing the HR and management burden on the practice by automating the labor-intensive calling process.

Question 4

How does Tile Health manage high-volume enrollment during APCM rollout?

Accepted Answer

Tile Health's AI can handle thousands of simultaneous outbound and inbound calls, ensuring rapid enrollment of your entire patient panel. Phamily's speed is inherently limited by the number of care managers you have available to make calls and send messages.

Question 5

How do revenue projections compare between Tile Health and Phamily?

Accepted Answer

Phamily claims revenue of approximately $578K per 1000 patients through staff efficiency. Tile Health often exceeds these projections by capturing 100% of eligible billing minutes through automated, consistent AI-driven patient interactions that never miss a scheduled call.

Question 6

Does Tile Health handle APCM documentation for billing?

Accepted Answer

Yes, Tile Health automatically generates the required documentation and time-stamped logs for APCM codes. Every AI interaction is transcribed and coded, ensuring audit-ready compliance without the manual data entry errors common in human-led models like Phamily.

Question 7

How does Phamily ensure billing accuracy for chronic care?

Accepted Answer

Phamily tracks care manager activities within their platform to generate billing reports. However, accuracy depends on staff correctly logging their time and interactions, whereas Tile Health's AI logs every second of engagement automatically.

Question 8

Are both platforms HIPAA compliant for APCM data?

Accepted Answer

Yes, both Tile Health and Phamily are HIPAA compliant and sign Business Associate Agreements (BAAs). They both integrate with major EHRs to ensure that patient data and billing codes are handled securely and according to federal regulations.

Question 9

How do patients experience enrollment with Tile Health's AI?

Accepted Answer

Patients receive a natural-sounding phone call from the AI that explains APCM benefits, answers specific health questions, and secures verbal consent. This replicates the experience of a high-quality human call but with 24/7 availability and zero wait times.

Question 10

What is Phamily's approach to patient outreach?

Accepted Answer

Phamily typically uses a multi-channel approach, including SMS and patient portals, to prompt action. While effective for some, these often require a follow-up from a human care manager to complete the enrollment, which can create bottlenecks.

Question 11

Can Tile Health's AI handle complex patient questions about APCM?

Accepted Answer

Yes, the AI is trained on specific APCM regulations and your practice's unique protocols. It can provide instant, accurate answers to questions about costs, benefits, and coverage, which often leads to higher enrollment rates than static digital messages.

Question 12

Does Phamily support phone-based enrollment?

Accepted Answer

Phamily supports phone-based workflows by providing scripts and task lists for your care managers. However, the actual calling is performed by humans, making it less scalable than Tile Health's fully autonomous AI voice solution.

Tile Health vs Phamily: APCM Billing & Enrollment FAQ

AI Automation & Staffing Models

Revenue and Billing Compliance

Patient Engagement Methodology

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