Care Management
Coordinate care across the healthcare continuum, ensuring that patients receive timely and appropriate interventions, follow-up care, and support services.
Our care management module provides a scalable technology platform that unifies communication and care coordination. Revealing evidence-based care gaps, we’re able to populate patient/member care plans, case management notes, disease registries, and population risk scores. The care management module features over 100 workflows and over 50 assessment instruments that are rules based, customizable, and respond dynamically as new data enter the platform.
Care Management Helps Care Teams:
Using aggregated data from siloed sources, our care management module automatically creates an individualized care plan using our artificial intelligence (AI)-enhanced automated care management workflows that are based on clinical practice guidelines and evidence-based gaps in care.
Improve health outcomes, reduce healthcare costs, and enhance the overall well-being of the population.
Our solution’s predictive modeling and risk stratification identify patients who are at high risk for adverse health outcomes, have chronic or complex conditions, or are undergoing transitions in care to prioritize interventions and prevent ER use, hospitalizations, and readmission.
Identify barriers to care, engage patients, and improve health equity by integrating local, regional, and statewide-based social service resources, such as Meals on Wheels, patient transportation, and/or behavioral health centers, for referrals, which are then tracked to completion.
Gain valuable insights into clinical performance, outcomes, and care delivery processes.
