Collaboration
Collaboration
The Collaboration Suite of solutions enables meaningful engagement among health plans, providers and members in order to improve health outcomes and reduce costs. This is achieved through increased transparency of administrative, reimbursement and clinical information to providers. Additionally, the Suite promotes collaboration between providers and members via secure messaging, collaboration workflows and clinical integration. Member decision tools support, such as Online Directories, are also incorporated into the Suite.
Business Challenges
- Regulatory and market pressures for greater transparency of access, quality and cost
- Prevalence of redundant and uncoordinated care
- Increasing role/efficacy of prevention programs and scaling their implementations
- Provider adoption of new care and payment models
- Influx of chronic-condition members requiring higher levels of coordinated care
- Member empowerment for self health advocacy
Key Features
- Provider self-service for enrollment, demographic changes, and status inquiry
- Online contract signature, pricing estimation, performance benchmarks and explanation of payments
- Provider outreach and campaign management
- Web-based clinical automation tools (e.g., EMR, ePrescription, eOrder, Chart Review, etc.)
- Online provider directories for member
- Clinical data integration and secure transport
Key Benefits
- Reduced administrative and service costs through increased provider self-service
- Reduced administrative burden on providers enabled by increased automation
- Increased provider satisfaction and adoption of care/payment initiatives
- Decreased redundancy of care driven by clinical automation & integration
- Enablement of collaborative/integrated care delivery models such as PCMH & ACO
- Increased member participation and adherence
Solution(s)
Directories
Provider Self-Service
Provider Relationship Management
Clinical Tools
Patient Centered Medical Home
