Software
InterQual® Coordinated Care
An integrated, cloud-based care coordination solution that helps payers and providers offer complex care management of high-risk members and patients with a single, blended care plan.
TransformUtilization Management
- Assess and manage complex cases efficiently with a single, blended care plan, created from a patented assessment that merges condition components.
- Manage care holistically with assessment questions covering medical, behavioral, and social needs, in addition to comorbidities and cross-condition issues.
- Enable evidence-based decision making with content developed with the same clinical integrity and standards as InterQual Criteria.
- Streamline case management with a SaaS solution that is integrated into your existing workflow, offering greater efficiency, timely alerts, and support for clinician delivery of quality, appropriate care.
- Create a tailored care management program to better control the medical costs of high-risk members and patients, help prevent readmissions and improve clinical outcomes.
- Meet regulatory requirements with a solution that is URAC accredited for both for care management and disease management. The solution helps you meet NCQA PHM5, MBHO QI9, and SNP requirements.
Integrated Assessments and Patient Information
Our outcomes
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