Program Design & Implementation
Integration of physical and behavioral health designed for improved member outcomes such as improved health, reduction of avoidable utilization, increase in care adherence, and self-management of care.
Identification of members in need of transitions of care, addressing specific needs, and assurance of least restrictive environment of care leading to improved outcomes and shorter length of stay.
Right Care, Right Time, Right Place! Discharge planning is an art and needs a good transition of care program supporting an appropriate discharge plan reducing avoidable readmissions.
Contracting with providers and vendors is the first step in developing a value-based strategy. Selecting the correct measures, integration of data, and how to track performance is the key to success.
Real-time data integration and review are the keys to a successful Utilization Management program. Meet your turnaround times, reduce your members’ length of stay appropriately and improve care outcomes.
And data mining producing a risk-adjusted hierarchy of care, criteria selection, and prioritization.
And design including top of licensure, risk screening, assessments, care planning, care gap closure, and more
And design including top of licensure, risk screening, assessments, care planning, care gap closure, and more
Improving symptomology and reducing avoidable costs