Workflow GuideTile Health vs Phamily

APCM Patient Enrollment: Tile Health vs Phamily Workflow

Compare APCM patient enrollment workflows between Tile Health and Phamily. Learn how AI automation vs care manager augmentation impacts practice ROI.

Implementing Advanced Primary Care Management (APCM) requires a seamless enrollment process to capture maximum patient volume. While Phamily utilizes AI to assist human care managers in outreach, Tile Health deploys fully autonomous AI voice agents to handle the entire enrollment cycle without increasing your practice's headcount or overhead.

The Challenge

Traditional APCM enrollment often stalls due to staffing shortages and the high cost of manual outreach. Practices must choose between Phamily’s 'co-pilot' model, which still requires significant staff oversight, and Tile Health’s 'pilot' model, which automates patient calls and documentation.

Step-by-Step Workflow

1

Patient Eligibility Screening

The workflow begins by identifying eligible patients within the EHR. Tile Health pulls data automatically to initiate calls, whereas Phamily flags patients for manual review by a care manager before outreach begins, potentially creating a bottleneck.

Best Practices
  • Ensure ICD-10 codes are up to date in your EHR for accurate filtering.
  • Automate the export of patient lists to avoid manual data entry errors.
Common Pitfalls
  • Missing eligible patients due to manual batching delays in the Phamily model.
2

Initial Outreach and Engagement

Tile Health uses conversational AI to call patients directly, explaining APCM benefits and securing consent. Phamily uses a mix of SMS and AI-assisted human calls, which can lead to higher latency and lower response rates compared to immediate voice interaction.

Best Practices
  • Use a local caller ID to increase answer rates.
  • Schedule AI calls during peak engagement hours for seniors.
Common Pitfalls
  • Over-relying on SMS which many elderly patients may ignore as spam.
3

Consent Capture and Documentation

Tile Health records verbal consent and automatically updates the EHR with a timestamped BAA-compliant note. Phamily requires the care manager to verify AI-transcribed consent before finalizing the documentation, adding a manual step.

Best Practices
  • Ensure the AI consent script meets all CMS APCM legal requirements.
  • Verify that the EHR integration supports real-time note writing.
Common Pitfalls
  • Failing to document the specific date and time of verbal consent for audit purposes.
4

Initial Health Assessment

Once enrolled, Tile Health’s AI gathers initial health assessments to populate the care plan draft autonomously. Phamily’s platform assists the care manager in drafting this plan based on previous patient interactions, requiring more human labor.

Best Practices
  • Map AI data fields directly to your EHR care plan template for consistency.
  • Standardize the assessment questions to ensure high-quality data.
Common Pitfalls
  • Creating generic care plans that do not reflect patient-specific health goals.
5

Billing Setup and Revenue Tracking

Tile Health tracks the enrollment event as a billable APCM activity immediately. Phamily provides a dashboard for staff to manually verify billable minutes and enrollment status before submission, which can delay revenue cycles.

Best Practices
  • Compare the cost of staff time versus the per-patient automation fee.
  • Monitor the total billable events generated per 1,000 patients.
Common Pitfalls
  • Underestimating the administrative overhead of human-led enrollment verification.

Expected Outcomes

1

Reduced staffing costs for APCM enrollment by up to 90% with Tile Health.

2

Faster patient onboarding compared to Phamily's human-augmented model.

3

Consistent, HIPAA-compliant documentation directly in the EHR.

4

Higher enrollment rates through persistent, automated AI outreach.

5

Predictable APCM revenue without the need for additional care managers.

Frequently Asked Questions

Tile Health uses autonomous voice AI to conduct calls without human intervention, while Phamily uses AI to assist human care managers in their outreach tasks.

Tile Health typically offers a higher ROI for practices looking to scale without hiring, as it eliminates the salary costs associated with Phamily's care manager model.

Yes, Tile Health’s conversational AI is trained on APCM FAQs to provide instant, accurate answers, whereas Phamily often relies on human staff for complex queries.

Both platforms offer EHR integration, but Tile Health focuses on automated data entry to reduce manual clicks for your clinical staff, whereas Phamily focuses on care manager dashboards.

Ready to transform your tile health vs phamily practice?

See how Tile Healthcare's AI call center can handle scheduling, triage, and patient communication for your practice.

Schedule a Demo
APCM Patient Enrollment: Tile Health vs Phamily Workflow | Tile Health