Care and Utilization Management

Advise on best in class delivery options that prevent low value care services. We will stratify patient risk, improve care coordination, and increase patient engagement. The result is a reduction of unnecessary medical services.

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Transition Management Programs: We offer expertise in best in class programs from care navigators, discharge planners, pharmaceutical safety, referral coordinators, health plan authorization, patient education and complex case management. Program design is customized to organization’s targeted reduction of low value care services.

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Predictive Analytics and Patient Cohorts: Performance of transition management programs is greatly enhanced with application to highest need patient populations. We will use risk adjustment and population health statistical tools to identify and tier cohort patient populations.

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Learning System: Adaptation of established programs is a necessary part of the design. Care gap and delivery failures are always changing. We will create a structure and design for programs to evolve in the changing atmosphere.

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