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Organize timely and appropriate outreach and engagement through clinically-oriented utilization, case, condition, and prevention management workflows.
Our Care Management application is clinically-driven and powers workflows for utilization management, case management, condition management, prevention, and wellness, all through a centralized member dashboard. It aligns provider authorizations, incentives, assessments, and care plans with insights produced in our Healthcare Benefits Analytics application, or the third-party benefits analytics platform of your choosing. This ensures users focus on the activities that will yield the greatest health and financial impact.
Organize and oversee utilization and monitor procedures and referrals that require prior authorization, all from a single consolidated dashboard.
Prioritize members based on clinical or financial risk factors and monitor outreach and interventions. Centralized dashboards draws focus to the touchpoints and activities that can reduce risk and improve outcomes.
Extend a brandable member-facing health portal for care managers to administer individualized care plans, health risk assessments, and communicate information on health plan incentives and rewards. Members can send secure messages, communicate health-related data, and complete assessments.
Monitor the status and effectiveness of incentive programs and communicate progress with members through a health portal.
Powerful analytics demand appropriate action. Our population health management applications, awarded “Best in KLAS” for Population Health Management (2017, 2018, 2020), put the data to work with intuitive workflow, tasking, and engagement tools that power configurable care pathways for utilization management, care team coordination, and clinical decision support. Secure, near real-time integration with payer and provider core administration and electronic health record systems ensure care gaps and treatment opportunities can be addressed at every patient interaction across physical and virtual points of care.
Learn about more Population Health Solutions:
The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you. Learn more today!