Solution
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.
ManageHigh-risk and Complex Cases
- 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.
