INCREASE COST SAVINGS
Building positive relationships with medical providers and health plan members is critical to the success of health plan customer satisfaction and business retention. Success means implementing effective and efficient health care services programs that respect and value the health plan members and their providers.
IMPROVE MEDICAL MANAGEMENT
Optimize integration of medical, behavioral health, and pharmacy programs
Realize cost savings by developing a finely integrated health care management system with established workflows that effectively connect medical, behavioral health and pharmacy management services.
Develop innovative approaches to address high cost and chronic medical cases
Establish connections with preferred delivery systems, community outreach programs, house-call provider groups, care coordination and palliative care services.
IMPROVE MEDICARE AND MEDICAID REIMBURSEMENT
DEVELOP INNOVATIVE APPROACHES TO ADDRESSING HIGH COST AND CHRONIC MEDICAL CASES
Establish connections with preferred delivery systems, community outreach programs, house call providers groups, palliative care services and care coordination services.
Implement interventions to improve your Medicare Stars ratings
Develop the right set of outreach and health care quality outcomes interventions to improve Medicare Star ratings to drive increased revenue and grow your business.
Improve quality processes and outcomes for accreditation
Build health management outreach and intervention programs that drive quality metrics for accreditation and preferred choice by consumers.