Helping health plans and risk-bearing entities deliver efficient and quality care, reduce unnecessary utilization, and positively impact the health of populations.
Integrated care, case, and disease management solution providing a timely, seamless flow of actionable information between case, care, and disease managers and your providers, members, caregivers, and partners.
Intuitive, dynamic, and affordable digital utilization management tools that align health plans and providers to work effectively together to reduce overutilization, erroneous requests, and back-and-forth, all while improving timeliness and appropriateness of care.
Automate appeals and grievances processes at the authorization detail level, including: receipt acknowledgments, notifications, correspondence, tasks, and reviewers, including peer-to-peer and external reviewers, for all levels of appeals.
A workflow-driven, fully integrated, and configurable solution with many features, including medication reconciliation, medication therapy management, medication adherence monitoring, and drug utilization review.
Streamline communications, expedite processing, and produce higher participant satisfaction, better program outcomes, and efficient tracking of services through automated workflows that enable care teams to meet the needs of their customers in their homes or communities where they can maintain their independence, dignity, and improve their quality of life outside of an institutional setting.