Simplify Care Coordination for Complex Patients
Role-based tasking, real-time treatment gap tracking, and longitudinal patient views for collaborative primary care

Partnering for Progress
Primary care teams of patients with multi-chronic conditions are responsible for coordinating treatments prescribed by 7-9 physicians and delivered by 15-25 extended care team members. Because general EMR tech advances only add administrative burden to this type of outcome-critical coordination, primary care teams resort to easier manual, outdated processes. Communication becomes more fragmented, care is delayed, and treatment plans are merely reactive. Ursamin delivers clinical-grade coordination tools that include seamless onboarding and ongoing support for even the most overwhelmed care teams.
How We Help You Guide Your Patients Down the Right Pathways:
IDENTIFY A CARE
STRATEGY
Transform your raw data into personalized care strategies. Ursamin aligns complex healthcare data with your care goals, proactively identifying gaps to ensure no patient gets left behind. We will equip you with the tools to steer patients towards optimal health.
BRIDGE TREATMENT
GAPS
Data is empowering when it is clear, accessible, and actionable. We bridge gaps between primary care and specialists, streamlining communication and identifying critical care issues. It’s your shared, real-time map to navigate healthcare together
ORCHESTRATE MULTI-DISEASE PLANS
Stay on top of disease management with efficient tools. Our platform helps you track progress, and adjust plans as needed, ensuring smoother sailing for your patients.
REDUCE ADMIN BURDEN, ACHIEVE MORE
Streamline tasks and empower your clinicians. We cut the admin time and costs, letting your team focus on what matters – high-quality care. Give Ursamin the paperwork, keep your focus on the patients.
Don't let fragmented care hold you back.
Learn more about Ursamin for primary care.
What we do
Ursamin is a digital health platform that helps doctors, nurses, and staff streamline care coordination by organizing data and surfacing care needs by patient and by role. We connect to national exchanges and EHRs to assemble a longitudinal patient profile, align it to team workflows, and highlight critical care gaps in real-time. Our platform supports role-based data alignment, task tracking by user, and longitudinal management—revealing workflow bottlenecks and empowering clinics to reallocate staff more effectively. Instead of spending hours hunting for records or chasing faxes, teams know exactly what’s due next, for whom, and by whom. The result: better outcomes for high-risk and chronic patients, improved clinic efficiency and profitability, and reduced burnout across the care team.
Imagine a world where:

Health Becomes An Everyday Habit
Say goodbye to the frustration of patients missing appointments or neglecting medication refills. Ursamin’s user-friendly tools empower patients to become active participants in their own care journey.

Delayed Care Is a Distant Memory
Siloed information hinders the ability to deliver timely interventions. Ursamin bridges the communication and collaboration gap by improving care delivery and enabling patient management.
What providers are saying:
Let Ursamin be your guide to a more efficient and collaborative practice.
Let Ursamin be your guide to a more efficient and collaborative practice.
Navigate the Shift to Value
Your Patients are Getting Robbed. Old school paperwork robs patients of 50% of their clinical team’s time and energy, a root cause of burnout and leaving the healthcare field. Administrative overload is quickly becoming the greatest threat to patient outcomes.
Ursamin’s Care Coordination platform enables every team member to quickly access the right information at the right time and in the right format, so they can focus on their expertise, precisely when your patients need it.
Essential News, Insights, and Resources
References
- Lin MP, Blanchfield BB, Kakoza RM, Vaidya V, Price C, Goldner JS, Higgins M, Lessenich E, Laskowski K, Schuur JD. ED-based care coordination reduces costs for frequent ED users. Am J Manag Care. 2017 Dec;23(12):762-766. PMID: 29261242.
- Breckenridge ED, Kite B, Wells R, Sunbury TM. Effect of Patient Care Coordination on Hospital Encounters and Related Costs. Popul Health Manag. 2019 Oct;22(5):406-414. doi: 10.1089/pop.2018.0176. Epub 2019 Jan 16. PMID: 30648928.
- Lammila-Escalera E, Greenfield G, Pan Z, Nicholls D, Majeed A, Hayhoe BW. A systematic review of interventions to improve medication adherence in adults with mental-physical multimorbidity in primary care. Br J Gen Pract. 2024 Mar 1:BJGP.2023.0406. doi: 10.3399/BJGP.2023.0406. Epub ahead of print. PMID: 38429109.
- Jen, Chih-Hung, et al. Application of classification techniques on development an early-warning system for chronic illnesses. Expert Systems with Applications, vol. 39, no. 10, 2012, pp. 8852-8858, doi:10.1016/j.eswa.2012.02.004.