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Delegated Risk & Capitation Administration

Built on decades of experience supporting the delegated risk market, Cedar Gate has enhanced the capabilities of the EZ-CAP solution to simplify the process of taking on delegated risk, streamlining the operational and administrative processes from decision to deployment. The intuitive and intelligent solution supports multiple lines of business, including Medicare Advantage, Commercial, Medicaid, Medi-Cal, and Carve-Out populations.

Cedar Gate offers a comprehensive array of targeted software tools, enabling you to build a value-based care solution tailored to solve your organization’s current initiatives, as well as surrounding capabilities to meet your future needs. Individually or in combination, Cedar Gate empowers you to improve quality of care, reduce costs, manage risk and enhance the patient experience.

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Your Value-Based Care Solution is Here

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Claims & Benefit Administration

Our EZ-Suite software provides a comprehensive, end-to-end solution to manage operational and administrative processes for multiple lines of insurance business.

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Eligibility Management

With our Eligibility Manager and DataTug™ solutions, IPAs, MSOs, or any population health, delegated group or managed care organization can quickly and efficiently manage changes to healthcare member eligibility.

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Capitation Reconciliation & Financial Management

Cedar Gate’s Cap Check™ delivers an immediate return on investment by enabling medical groups with capitated contracts to verify that they are receiving correct payments, reconciling actual payments with expected payments on a member/month basis.

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Utilization/Case/Care Management

Developed by nurses, doctors, case managers and healthcare administrators who know the dynamic needs of the healthcare industry, EZ-CARE enables you to improve quality of care, reduce costs, manage risk and improve the patient experience.

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Quality Management Analytics

Cedar Gate’s EZ-INFO provides complete analytic insights across every line of business, enabling you to take immediate action to improve health and financial outcomes.

Serving

payers

Payers

Manage risk more effectively and obtain greater value for every healthcare dollar.

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providers

Providers

Act on emerging opportunities to transform operations and improve financial performance.

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employers

Employers / ASOs

Recognize high-value innovation opportunities in healthcare with our help.

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EZ-CAP – Core Administration

EZ-CAP is part of a comprehensive software platform…

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Product Page

EZ-CARE – Utilization / Case / Care Management

Superior care management for comprehensive continuum of care support

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eBrief

Three Common Challenges IPAs Face — and How You Can Mitigate Them

As a physician, you want to spend your time caring for patients…

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eBrief

Four Ways MSOs Can Maximize Efficiencies and Enhance Their Growth Opportunities

A host of regulatory changes and added complexities are driving renewed interest in MSOs…

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SOLUTIONS

Cedar Gate’s enterprise performance management analytics and administration platforms reduce risk, enhance financial performance, and improve patient outcomes for healthcare organizations across the value-based care continuum.

Enterprise Data Management

Capture, organize, and utilize all valuable data sets securely and easily.

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Empower your team with timely information to take action and reach performance goals.

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Transform the way you report on your business with these intelligent tool sets.

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Support medical management activities across the care continuum.

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Manage patients effectively from chronic conditions to transitions of care.

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Administer retrospective and prospective bundled payment arrangements with clinical excellence.

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Extend your effectiveness with managed, professional, or advisory services.

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