Services

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Provide trends and insights using member, provider, diagnosis, or HCC dataset.

Implement CMS risk score methodology and calculate population impact based on medical coding and patient care gaps.

Are you ready for EDS? Ensure that your gaps between Center for Medicare & Medicaid Risk Adjustment System (RAPS) and Encounter Data Systems are mitigated.

Business process re-engineering and application of six-sigma controls to ensure operational efficiency and effectiveness. 

Assist with member outreach services to ensure successful appointments and screenings so that chronic conditions can be identified and managed in a proactive manner.

• Moving to value based care? 
• Do you have a unique challenge or opportunity?
• Need to ensure that all gaps in care are closed?

Leverage Salesforce Health Cloud to

empower patients to self-manage chronic conditions, provide a 360 degree view of patient information, enhance quality of care by connecting patients with care delivery teams, and improve member engagement by integrating multiple legacy systems to engage with members via mobile and email.