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This requires transparency to member health care information (more than claims) to introduce interoperability between all providers including full care team, care settings, and most importantly the patient or member.
Our solutions affords payors to take connections with your contracted partner healthcare delivery systems to new heights via ADT triggers notifying the plan and care team physicians of the services provided including discharge summary. Discharge planning and readmission prevention with proactive delivery of care gaps or additional services required to prevent costly future interventions against evidence based care plans. Full population health risk stratification with Johns Hopkins ACG Grouper and plans healthcare risk assessments to ensure all necessary measures are taken to promote wellness and good health.
The solution bundle includes full private healthcare information exchange capabilities (PHIE), risk stratification, care plans, communication capabilities including administrator/clinician/patient portals, alerts engines, chronic care management, and a wide range of business intelligence around spend analytics, costing, missed and overdue care, quality measurements, patient satisfaction and more.