Integrated care doesn't happen by accident. It requires shared systems, connected data, and coordinated workflows. Meridian PHM provides the infrastructure that makes it possible.
See How It Works
Health plans hold the data. Providers deliver the care. Community organizations build trust. Meridian PHM connects them all.
Claims, eligibility, ADT
Unified infrastructure
Workflows, coordination
Clinical data, referrals
Real-time, actionable
CBOs, social services
Today, health plans, providers, and community organizations each operate in their own systems. A hospital discharge note sits in one EHR. The health plan tracks it in another. The community health worker documents their visit somewhere else entirely.
Without shared infrastructure, care coordination becomes a game of telephone—and the people who need support most fall through the cracks.
Meridian PHM doesn't ask organizations to abandon their existing systems. Instead, we create a shared layer that connects them—pulling data from health plans, surfacing it to care teams, and closing the loop when services are delivered.
The result is a single source of truth for care coordination: who needs support, what's been done, and what happens next.
Care managers shouldn't spend their days hunting for information across five different portals. Community health workers shouldn't wonder if their visit notes made it back to the health plan.
With the right infrastructure, care teams can spend less time on logistics and more time building the relationships that actually improve health outcomes.
Meridian PHM was created by Journey Health, a community-focused care organization serving Medi-Cal members across California's Bay Area. We built these tools because we needed them—and we knew every other organization doing this work needed them too.
Learn About Journey HealthWhen the foundational systems work, integrated care delivery becomes possible at scale.
Know when care transitions happen—not days or weeks later, but in the moments when intervention matters most.
Track referrals from initiation to completion. Know that the community support you arranged actually reached the person who needed it.
See patterns across your entire population. Identify gaps, measure outcomes, and continuously improve how care is delivered.
Whether you're a health plan, provider organization, or community partner—we'd love to explore how Meridian PHM can support your integrated care goals.