Provider Point Of Care
Provider Point Of Care
Leverage a novel, in-workflow approach to enable cost-effective care delivery at the point
of care without any EHR integration dependencies. Give providers access to care insights and
enable priority actions that they cannot take with the help of the EHRs alone. Assist
providers with resources that can help them improve clinical outcomes and boost the overall
network performance.
-
Close coding and quality gaps to improve plan performance
-
Streamline referrals and reduce network leakage
-
Engage providers on care management priorities
-
Leverage seamless prior authorization process
-
Deliver actionable care insights
-
Offer omnichannel provider - payer - member communications
Payer Cost Of Care
Payer Cost Of Care
Intelligently drive care management and utilization management workflows, social
determinants of health (SDoH) priorities, and improved cross-stakeholder communications.
Facilitate technology-enabled improvements to assist providers in delivering better care and
at the same time, boost cost of care performance of the network.
-
Close the loop with providers on identified coding gaps
-
Set up centralized referrals desk for scheduling needs
-
Drive care management outcomes with provider & member engagement
-
Streamline processing of prior authorization requests with automated workflows
-
Connect high-risk members with SDoH resources
-
Leverage holistic care insights for improved care coordination
-
Offer omnichannel payer - provider - member communications
Member Engagement
Member Engagement
Boost member enrolments and retain existing enrollees by transforming your member engagement
strategies. Strive for a consumer-oriented experience with care navigation, care program,
education & resources, and care team communications offerings for your members. Create more
value for the members of your network.
-
Automate member outreach campaigns for specific priorities
-
Empower members to navigate their own care (e.g., referrals)
-
Engage members with their care programs
-
Deliver seamless access to member education & resources
-
Offer omnichannel member - provider - payer communications
Network Management
Network Management
Exercise complete control over your network with this solution and identify gaps that are
causing obstructions in achieving efficiency. Manage your provider contracts and leverage
real-time insights for interventions-driven performance improvement. Take corrective steps
to ensure the optimal performance of your network.
-
Build a foundational contract & provider directory management
-
Deliver real-time performance insights
-
Drive network performance interventions
-
Facilitate design of new networks
-
Offer omnichannel provider - payer - member communications
Interoperability Platform
Interoperability Platform
Deliver the foundational interoperability platform needed to unlock the full potential of
your health plan’s data and analytical insights. Leverage our platform to address priority
quality & cost needs, and to meet payer API’s regulatory requirements. Enhance member
satisfaction and provider performance to achieve excellent network performance.
-
Deliver foundational Data Activation Platform to support front-end applications
-
Access digital chart retrieval to drive coding gaps closure
-
Integrate clinical data needed for quality measures’ supplemental data submissions
-
Complete critical payer APIs as per regulatory requirements
-
* Footnote: Blue Button 2.0, CMS rule 9115 on interoperability & patient access
Provider Point Of Care
Leverage a novel, in-workflow approach to enable cost-effective care delivery at the point of
care without any EHR integration dependencies. Give providers access to care insights and enable
priority actions that they cannot take with the help of the EHRs alone. Assist providers with
resources that can help them improve clinical outcomes and boost the overall network
performance.
-
Close coding and quality gaps to improve plan performance
-
Streamline referrals and reduce network leakage
-
Engage providers on care management priorities
-
Leverage seamless prior authorization process
-
Deliver actionable care insights
-
Offer omnichannel provider - payer - member communications
Payer Cost Of Care
Intelligently drive care management and utilization management workflows, social determinants of
health (SDoH) priorities, and improved cross-stakeholder communications. Facilitate
technology-enabled improvements to assist providers in delivering better care and at the same
time, boost cost of care performance of the network.
-
Close the loop with providers on identified coding gaps
-
Set up centralized referrals desk for scheduling needs
-
Drive care management outcomes with provider & member engagement
-
Streamline processing of prior authorization requests with automated workflows
-
Connect high-risk members with SDoH resources
-
Leverage holistic care insights for improved care coordination
-
Offer omnichannel payer - provider - member communications
Member Engagement
Boost member enrolments and retain existing enrollees by transforming your member engagement
strategies. Strive for a consumer-oriented experience with care navigation, care program,
education & resources, and care team communications offerings for your members. Create more
value for the members of your network.
-
Automate member outreach campaigns for specific priorities
-
Empower members to navigate their own care (e.g., referrals)
-
Engage members with their care programs
-
Deliver seamless access to member education & resources
-
Offer omnichannel member - provider - payer communications
Network Management
Exercise complete control over your network with this solution and identify gaps that are
causing obstructions in achieving efficiency. Manage your provider contracts and leverage
real-time insights for interventions-driven performance improvement. Take corrective steps to
ensure the optimal performance of your network.
-
Build a foundational contract & provider directory management
-
Deliver real-time performance insights
-
Drive network performance interventions
-
Facilitate design of new networks
-
Offer omnichannel provider - payer - member communications
Interoperability Platform
Deliver the foundational interoperability platform needed to unlock the full potential of your
health plan’s data and analytical insights. Leverage our platform to address priority quality &
cost needs, and to meet payer API’s regulatory requirements. Enhance member satisfaction and
provider performance to achieve excellent network performance.
-
Deliver foundational Data Activation Platform to support front-end applications
-
Access digital chart retrieval to drive coding gaps closure
-
Integrate clinical data needed for quality measures’ supplemental data submissions
-
Complete critical payer APIs as per regulatory requirements
-
* Footnote: Blue Button 2.0, CMS rule 9115 on interoperability & patient access
