The Adobe Care Management Model

Adobe is proven to decrease hospitalization rates by 10% for the highest at-risk groups.

Proprietary Risk Stratification

Health Risk Assessments

Care Gap
Resolution

Customized
SDoH Support

Transitional Care
Management

In-Home Risk
Assessment

Risk Stratification

The ACM Model’s proprietary risk stratification algorithm enables Adobe Population Health to proactively identify members within new populations to prevent future hospitalizations.

Prior to new patients being contacted, a proprietary risk stratification tool including a proprietary algorithm, identifies members of a population at greatest risk for hospitalization.

This tiering of the population of newly eligible patients allows us to address the risks before an event occurs. These individuals become the priority for reach out and are contacted within 30 days.

Health Risk Assessments

The Adobe Integrated Care Team conducts the initial health risk assessment for each member within the first 90 days.
This assessment supports the build of a customized care plan around the whole person and is repeated annually by the Adobe Care Team.

Care Gap Resolution

Once at-risk members are identified at a population level, the Adobe Integrated Care Team conducts in-home safety assessments to reveal gaps that impact the individual’s health. The Care Team works with Members to monitor and proactively address these challenges, meeting members where they live.

Each member receives a personalized preventative care plan based on an individual’s needs, including telehealth and in-person screenings, check-ups, and comprehensive wellness assessments. By tracking that information, Adobe drives positive changes working with members to help them understand and manage their chronic and acute conditions.

Customized SDOH Support

Adobe offers a truly differentiated service to address SDOH we call MASLOW™.

Working with members in their own home, the Adobe Care Team assists in taking the MASLOW™ survey.

MASLOW™ identifies potential SDOH barriers and gaps in care. Knowing that 80% of hospitalizations are related to socio-economic gaps , it is essential that these needs are identified so they can be addressed. The mechanism for gathering the gap data is our proprietary application MASLOW™.

Transitional Care Management

To help ensure a smooth recovery and keep patients from further decline or the need to be readmitted to a hospital, the Adobe Care Team contacts members within 24 hours at time of discharge. Adobe completes an in-home assessment to address home safety issues and establish follow-up care as needed.

In-Home Risk Assessment

The Adobe Care Team conducts annual in-home health risk assessments for members to identify chronic illnesses and build a customized care plan addressing needs in the home and community. This assessment gives the team a picture of the whole person and their individual needs in their own environment.

Dr. Alina Walden – Vice President Clinical Services

Dr. Alina Walden is a highly accomplished professional with an impressive academic background. She holds a Bachelor of Science degree in Biochemistry and Molecular Cellular Biology from the University of Arizona Honors Program. Subsequently, she obtained her medical degree from New York Medical College and earned her MBA from the University of Phoenix.

With over 15 years of experience in clinical practice, Dr. Walden has specialized in risk adjustment, disease management, and utilization management. Her expertise as a physician executive, combined with an in-depth understanding of the CMS HCC-Risk Adjustment Model and Quality STAR measures, enables her to develop and implement effective population health programs. She is also certified as a Certified Professional Medical Auditor (CPMA), Certified Professional Compliance Officer (CPCO), Certified Professional Coder (CPC), and Certified Risk Adjustment Coder (CRC) from AAPC. These credentials align perfectly with the goals of Adobe Population Health.

Dr. Walden is committed to delivering exceptional customer service to the entire care team, consistently striving to enhance and promote positive patient experiences. She firmly believes that every individual involved in the healthcare process plays a crucial role in advocating best practices. Outside of her professional endeavors, Dr. Walden cherishes spending quality time with her family, which includes her loving husband and four children. Her personal interests include reading and traveling.

Gail Lara – Vice President Strategic Outreach

With extensive experience in healthcare marketing, operations and management, Gail has made a career of developing and growing service lines and businesses from large health systems and specialty practices to wellness and ambulatory services.

As a VP at Adobe Care & Wellness, she oversees outreach to physicians and identifies opportunities for growth that align with the needs of the community and its members.
Gail earned an associate degree in business at Midland College followed by a bachelor’s degree in marketing from the University of Texas. She then worked in operations and business development with a national company upon moving to Arizona and joining the state’s largest urgent care organization where she was instrumental in its growth, identifying new locations, opening clinics, and overseeing licensing, staffing, and compliance. Gail then built and grew service lines at a local hospital group and oversaw marketing and business development for another.

With a commitment to innovative thinking, Gail’s wide range of experience is enhanced by her ability to foster collaborative relationships to achieve goals.

Residents of Arizona, Gail, and her husband have three children. She is passionate about community service, has served on the board of the Arthritis Foundation, and regularly volunteers at The Society of St. Vincent de Paul.

Maria Martinez – Vice President Population Health

Maria Martinez started with Adobe Care & Wellness in the call center, making health risk assessment (HRA) calls to members. She soon took on new responsibilities, learning the ins and outs of Salesforce and helping to build the company’s initial technology platform. Maria never expected that her first post-college job would lead to a career in health care solutions. Maria was born and raised in Phoenix and earned a Bachelor of Science in justice studies with a minor in women and gender studies, graduating Summa Cum Laude. She quickly rose to Senior Director of Clinical Services at Adobe Care & Wellness and later to Vice President of Operations. As VP of Operations, Maria oversees the nurse practitioner scheduling and in-home assessments program to ensure members receive the care needed. She is passionate about making health care more accessible to those living in rural areas or lacking the mobility to get to a doctor’s office helping the company grow and expand its ability to help others.

David Heinrich – Vice President, Integrated Care

A Chicago native with more than 20 years of management experience, David began his management career in the retail industry, quickly working his way up to Store Manager and then Regional Manager. While overseeing multi-million dollar retail stores, David felt the pull to venture into the medical field. He began working for an ambulance company providing pre-hospital care to the sick and injured which inspired him to further his education in nursing school. As he earned his degree, David worked full-time doing organ and tissue recovery for one of the nation’s largest not-for-profit body donation programs.

Since graduating as a registered nurse, David has worked in medical-surgical, trauma, and telemetry units as well as in home health, hospice, and nursing education. He has held clinical leadership roles including Clinical Manager and Director of Nursing.

When Adobe Care and Wellness started their Special Needs Plan in 2019, David joined the team and quickly helped grow the program. He was promoted to Director of Case Management and then to Senior Director of Integrated Care. David, who is also a Certified Case Manager, now serves as Adobe’s Vice President of Integrated Clinical Services.

Alex Waddell – Chief Information Officer

Alex Waddell is an Arizona native and graduate of Arizona State University, where he earned a Bachelor’s in economics. Alex began his career in IT as a software developer for a home health and case management provider. Over the next four years, Alex took on increasing responsibilities and began earning certifications as a Salesforce developer. In 2018, he was hired as Director of Software Development for Outreach Health Services, where he worked for two years before accepting the position of Executive Vice President of Technology at Adobe Care and Wellness. Alex has continued his drive for excellence and is now a Certified Salesforce Application Architect as well as a member of the Forbes Technology Council. In his current position as CIO,  Alex manages and directs a team of developers and oversees the design and development of the proprietary software that supports the expanding healthcare solutions Adobe Care and Wellness offers. Alex and his department, provide internal staff and external entities with analytics that measures results and helps drives decisions. He and his team also ensure data security for the company’s hardware and software.

Chad Wolver – Chief Financial Officer

Chad Wolver is an Arizona native and graduate of University of Arizona’s Executive MBA program in Accounting & Finance. He brings nearly a decade of commercial banking, strategic finance and management experience to the leadership team. He first met our founders, Jayme and Pat, working as the banker for Adobe Care & Wellness in 2017. Chad has always had a passion for helping others. After completing undergraduate degree in Communications with a minor in mathematics at Arizona State University, he joined the US Peace Corps and spent four years in South Africa. In his role as CFO, Chad will develop the company’s financial strategy, oversee budget and planning, and help the organization grow efficiently in its goal to expand as a multi-state provider. Chad serves as a board member for some of Arizona’s most well-recognized philanthropic organizations including Arizona Community Foundation’s Kellenberger + Tollefson Center for LGBTQ Philanthropy Advisory Council and ONE Community’s Millennial Advisory Board. He’s a past board member of ASU Lodestar Center’s Leadership Council, Human Rights Campaign Arizona, Southwest Center for HIV/AIDS and Phoenix Community Alliance’s Social & Housing Advancement Committee. When Chad is not working or giving his time to one of the many causes and organizations he cares about, he enjoys traveling with his partner and spending time with their beloved Italian greyhounds.

Challas Ray – Chief Operating Officer

Challas Ray has spent more than a decade building a career in the health care industry. Challas holds a Master’s in Clinical Kinesiology from Eastern Illinois University. After completing his education, he began work with Sara Bush Lincoln Health System, where he helped create and expand an external wellness program for companies interested in providing wellness programs to their employees. Challas is originally from Toledo, Illinois, but now calls Arizona home.  He moved to the Valley of the Sun seeking warmer weather and new opportunities. Joining The Beech Group as a Transitional Specialist, it was there Challas met and began collaborating with Jayme Ambrose. In 2017, he joined Jayme’s team to help launch Adobe Care & Wellness. As Adobe Care & Wellness COO, Challas provides oversight of the operational process to improve efficiencies and conducts the cost-benefit analysis of new and existing initiatives.

Pat Duryea, PhD – Chief Inspiration Officer

Patricia (Pat) Duryea earned her bachelor’s in Business Administration with an emphasis in Human Resource Management from Arizona State University. She then served as a Human Resource Director for nearly six years before returning to school to earn a Master of Educational Psychology from Northern Arizona University and a Doctorate in Counseling Psychology from Walden University.  Through her career spanning three decades, Pat has worked as a clinical manager, employee assistance program director, an adjunct professor at ASU and she’s owned and operated multiple small businesses. She has extensive knowledge in developing health and wellness programs, and experience in trauma-related counseling. As Chief Inspiration Officer at Adobe Care & Wellness, Pat manages human resources and the development of company culture.  She also serves as the compliance officer, receiving complaints, solving issues and reporting them to Arizona Complete Health.  She works directly with the management team on leadership development within the organization and monitoring morale. Pat’s overall focus is to ensure that employees feel included and valued in their contributions to the company’s success and to provide them with the opportunity to be the best they can be.

Jayme Ambrose DNP RN CCM – Chief Executive Officer

Jayme Ambrose is the visionary, founder and CEO behind Adobe Care & Wellness. She’s spent more than 30 years building a career in the healthcare industry. Jayme holds a Bachelor of Science and a Master’s in nursing from Arizona State University. She later earned a Doctorate in nursing and health care administration at Case Western Reserve. Her work coupled with her education gave Jayme an in-depth understanding of and experience in development and case management programs.

Jayme is a member of the Case Management Society of America where she’s served as a board member, and she’s an active member of the Arizona Nursing Association. She also serves as an adjunct professor for doctorate students at A.T. Stills and at ASU teaching RN, BSN and master’s students and develops curriculum.