Our Purpose
Welcome to a new way to empower healthcare providers. One where human insights drive system-wide solutions, and deep community knowledge creates practical paths forward. This is healthcare that finally works for everyone involved, from providers and payers to the people they serve.
For more than 55 years, Elm & Oak has connected data, people, and purpose to deliver healthcare that works for real communities. We believe every person deserves quality care, and every provider deserves a partner who understands both the human and organizational sides of delivering it.
The Human Side of Healthcare
Mission
Elm & Oak supports low-income individuals, working poor, and other populations served by government-sponsored programs to improve their health status and that of their families. We dedicate our efforts to:
- Facilitating access to quality healthcare.
- Educating providers, individuals, and their families in areas that foster empowerment, shared decision-making and effective care.
- Supporting our partners and communities in delivering high-quality healthcare services and promoting healthy lifestyles.
- Collaborating with others around issues that affect the health of our enrollees and their families.
Vision
We will be a leader in transforming healthcare for individuals and their families served by government-sponsored programs by improving health outcomes, reducing disparities, and being good stewards of community resources.
We achieve this through effective partnerships, innovative programs, community leadership, and progressive strategic management.
What We Do
Elm & Oak helps healthcare organizations deliver better care to the people who need it most.
From individuals to system-wide partnerships, we bring together the right mix of healthcare management expertise, human connection, and data-driven insight.
Our success comes from a people-first, tech-smart approach.
Our Care Management teams include RNs, behavioral health specialists, and community outreach staff, all supported by state-of-the-art systems with customized reporting and analytics. We provide:
Transition care and discharge planning support
Virtual, telephonic, and in-person care coordination
Psychosocial support to address social determinants of health (food, housing, transportation)
Education for clients and their support systems
Culturally responsive engagement tailored to complex medical and behavioral health needs
But our work extends beyond Care Management.
At Elm & Oak, Population Health work is our purpose. It is a coordinated approach to improving outcomes for whole communities by using data, care coordination, and community-based support to identify risks early and address the clinical and social factors that shape health. We combine advanced analytics with hands-on, person-centered support to help partners deliver equitable, proactive care that strengthens both individual well-being and system performance.
And through our Independent Practice Association (IPA), we support over 12,000 providers with tools to succeed in value-based care, offering resources, quality and coding support, and a framework that improves sustainability while keeping care patient-centered.
We also operate one of New York’s most successful Health Home Care Management programs, a coordinated care model that links Medicaid or dual eligible members with chronic or complex conditions to a trusted network of clinical and community partners. This model ensures continuity and trust, closing gaps that traditional systems often miss.
Whether we’re partnering with a single provider or an entire health system, our work is built to deliver impact at every level.
Leadership
We are led by a specialized team of healthcare management experts who blend five decades of knowledge in care delivery, population health, equity, analytics, and health system partnerships to improve health outcomes for underserved populations.
Awards & Recognition
Top Utilization Management Provider
– HealthCare Business Review
ACAP Preferred
Provider
– Association for Community Affiliated Plans
Amazing Workplace Certified
– Recognized for culture and employee experience
Workplace Wellness Awardee
– Rochester Business Journal
Testimonials
“We recently completed a Health Equity Impact Assessment (HEIA) with the assistance of [Elm & Oak].“
“They were excellent throughout the process, and very detail-oriented. The feedback they gave us concerning our assessment will help us shape how we provide care in our region.”
Rural Hospital System
"From the onset of our partnership, it was clear that [Elm & Oak’s] team had the depth and breadth of experience with both utilization management and our specific population that could help streamline our processes and strengthen our regulatory compliance. Since engaging [Elm & Oak], the timeliness and quality of reviews has been greatly improved.“
“[Elm & Oak] is the perfect partner for us…a knowledgeable, collaborative, and cost-effective extension of our team!“
Kevin Steffens, RN, MBA, Vice President of Clinical Services and Programs, Amida Care
“Our partnership is making a difference in the way we approach care gaps across the care delivery landscape, enhancing our ability to focus on whole-person care.”
Karen Ashline, Vice President, Adirondacks ACO, LLC
