Identify and guide members at the point of care to the best care settings
In a value-based world, healthcare collaboration is key to plan performance. Gain visibility into your members’ activities across the care continuum and share these insights with network providers in real-time to support quality, affordable care.
Unmatched network scale and activation:
#1 in post-acute network coverage with 70% market share across 22,000+ skilled nursing and long-term care facilities, and 3,000+ hospitals.
Most advanced data and analytics:
Full chart-level data as the system of record with real-time data access, exchange, and deep-learning based analytics on cross-continuum insights.
Most integrated workflow:
#1 best in KLAS ranked with full point-of-care support of seamless workflow automation and delivery.
Gain a more holistic view of your members and establish key connections
Increase visibility into member activity, care and utilization trends, as well as opportunities to optimize quality programs and value-based care coordination.
Connect Care Teams for Value-Based Success
The right collaborative partnerships between health plans, members, and providers can help to reduce hospitalizations, decrease the total cost of care and drive better outcomes – all while enhancing the member experience.
Member Activity Visibility: Delivers real-time ADT messaging to optimize and expedite notifications of admissions (NOA), streamline utilization managements processes, and enhance internal data repositories.
Care and Utilization Optimization: Reduces total cost of care by identifying with chronic disease, behavioral health issues, and high or rising patterns of acute care services and collaborating with providers in real-time.
Quality and Coding Optimization: Helps health plans improve performance on HEDIS and Stars quality scores and close coding gaps to improve risk adjustment.
Value-Based Care Coordination: Integrates plan partners/providers to proactively manage patients’ care and improve quality and risk adjustment.
How a California Health Plan is Driving Clinical and Quality Outcomes Through Data Sharing and Incentives
In this episode, Nicole Sunder, Director Health Plan Solution Design, Collective Medical, and Paul Stout, Program Manager HIE Quality Improvement, Health Services at L.A. Care Health Plan, discuss the meaning of quality, what information is necessary to share to drive...
In this podcast with Becker’s Hospital Review, Nicole Sunder, Director Health Plan Solution Design and Michael Keyes, VP Health Plan Business Development discuss why readmissions are top of mind, the healthcare industry's pain points, how to address provider and...
A winning formula for payers and providers This white paper, written in collaboration with Becker’s Hospital Review, includes perspectives from Collective Medical’s Nicole Sunder, Director of Health Plan Solutions, Nikki Starrett, Director of Value-Based Care, and Ian...