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Drive Stronger
Whole-Person Health
Outcomes
with Unite Us

At Unite Us, we give you the tools you need to meet CMS requirements and screen for Health-Related Social Needs (HRSN) directly from the EHR you use every day. Through our trusted nationwide network, you can connect patients to trusted community resources, track their care journey, and improve health outcomes at scale.

Explore Our Platform Capabilities

  • Address patient needs with a scalable infrastructure that goes beyond referrals
  • Reduce readmissions and avoidable ED visits
  • Meet value-based care and quality incentives
  • Demonstrate community impact and improve whole-person care

How Healthcare
Providers Use Unite Us

The use cases are endless. Here are a few ways healthcare providers are transforming their communities with Unite Us.

Hospitals and Health Systems

Improve Patient Health Outcomes and Reduce Costs

We offer an enterprise technology solution that scales across your entire health system — plus a strong network and the right people to power it. Whether you’re working with low-risk, rising-risk, or high-risk populations, our platform connects patients to a robust network of social care programs and resources that can help.

Key Benefits

Send and track closed-loop referrals from start to finish to see whether patients received services

Share personalized resource lists with patients, giving them easy access to the support they need

Find and share tailored resources that meet each patient’s unique care needs

Home Health Agencies

Streamline Access to Home Health

Home health care is on the rise. However, despite its importance, many patients are not aware that home health care is even an option for them. With Unite Us, Home Health Agencies (HHAs) can join a robust network of healthcare and community organizations, making it easier for patients of all ages to find and access your services.

Key Benefits

Promote your services and connect with patients who need home health care most

Streamline patient intake by quickly onboarding new patients with a seamless referral system

Locate and share tailored services that meet each patient’s unique care needs

Mental and Behavioral Health

Bridge the Behavioral Health Care Gap

Early identification and intervention for unmet needs can prevent the escalation of mental health conditions and significantly improve overall health outcomes. That’s why we developed a platform that bridges the gap between behavioral health providers and individuals in need and goes beyond simple referrals, fostering a trusted network and community-centered care.

Key Benefits

Streamline patient intake by quickly attracting and onboarding new patients with a seamless referral system

Locate substance use support tailored to your patients’ needs

Screen for related SDOH and connect patients to trusted providers with decision support tools

Federally Qualified Health Centers

Improve Care for Underserved Populations

Federally Qualified Health Centers (FQHCs) are the backbone of care for underserved communities, especially Medicaid patient populations. Unite Us equips FQHCs with the tools to improve patient outcomes, engagement, and experience—without adding extra administrative burden. Our platform integrates seamlessly into your workflows, making SDOH screening, community collaboration, and efficient referrals effortless.

Key Benefits

Coordinate social care with precision, track every referral to completion, and prevent duplicate efforts

Give patients a toolkit of trusted resources to manage their care with confidence

Build personalized solutions for patients at every stage of their care journey

What You Get

Smarter Tools for
Health Systems

  • Integration with top EHRs like Epic, Oracle, MEDITECH, and more
  • Standard and customized screening tools to easily uncover unmet needs
  • Curated local and statewide community partner networks
  • Referral visibility and data transparency
  • A dedicated team to support rollout and adoption
Key Resources

See How Providers Are Using Unite Us to
Improve Patient Outcomes at Scale

How McLeod Health and Unite Us are Improving Patient Care With Closed-Loop Referrals

How McLeod Health and Unite Us are Improving Patient Care With Closed-Loop Referrals

McLeod Health, a leading healthcare system across North and South Carolina, partnered with Unite Us to enhance patient care with community-based services.

How 51% of Bayhealth Patients Avoided Future Healthcare Utilization

How 51% of Bayhealth Patients Avoided Future Healthcare Utilization

How Bayhealth uses Unite Us’ closed-loop referral system to improve care coordination post-discharge, reduce ED/IP utilization, and improve outcomes.

How Ballad Health Saves $68.80 PMPM by Reducing ED Utilization with Unite Us

How Ballad Health Saves $68.80 PMPM by Reducing ED Utilization with Unite Us

See how Ballad Health is using Unite Virginia, a statewide coordinated care network, to reduce ED readmissions by nearly 25% and save $68.80 PMPM.

How Tech Improves Patient Outcomes & Reduces Provider Burnout

How Tech Improves Patient Outcomes & Reduces Provider Burnout

Explore how health systems use technology to streamline HRSN screenings, address non-medical needs, reduce provider burnout, & improve patient outcomes

EHR Integration with Social Care Technology

EHR Integration with Social Care Technology

Explore the benefits and challenges of integrating social care technology with Electronic Health Records (EHRs). Discover how EHR integration can improve patient outcomes and streamline healthcare processes.

What is HL7 FHIR? Challenges and Benefits of FHIR Integration

What is HL7 FHIR? Challenges and Benefits of FHIR Integration

Learn more about FHIR integration and the benefits of FHIR for healthcare systems, community-based organizations, and advancing whole-person care.

Frequently Asked Questions:

  • Unite Us integrates with a variety of EHR and case management tools. For more information about our integrations, see here.

  • Trust and transparency are the cornerstones of the Unite Us Platform. Unite Us is compliant with HIPAA and leading security frameworks including HITRUST. Read more about our security guidelines and our privacy policy.

  • Unite Us is built to be flexible to help meet the needs of your patients and care teams. With Unite Us, care teams directly serving a patient can understand their patient’s longitudinal care journey, including the status and outcomes of any social care referrals, in accordance with the patient’s documented consent. Care teams can also use Unite Us’s intuitive dashboards to manage day-to-day workflows and caseloads.

    Care teams can also use Unite Us Chat to easily and securely communicate with other users in the network based on shared referrals and cases.

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Start Building Healthier Communities Today