Developed with care coordinators from some of the nation’s largest health plans, CareEmpowerTM is breaking down communication barriers and bending the cost curve. The intelligent workflow engine is used to proactively manage, coordinate and transition patient care for large complex patient populations. In 50 states, care coordinators are achieving the last mile of delivery with CareEmpowerTM and transforming provider workflows for value-based care.
Connecting Communities of Care
Through a Shared Solution for Payers and Providers
CareEmpowerTM Care Coordination
"Our providers are now able to share care plans between medical and behavioral health to ensure we are treating the whole health of the patient. HealthBI has helped us improve HEDIS outcomes and close 32% more gaps very quickly."
Our country spends $33 billion dollars annually on avoidable hospital admissions as a result of poor care coordination and care transitions management – an effective solution is overdue. CareEmpowerTM is a feature-rich solution like no other care navigation system you have used.
Gaps in Care
Whether your organization’s goal is to quickly accelerate your Medicare Advantage program or to deploy a robust population health program for any of your at-risk populations, you will need more than a reporting module. High-performing healthcare providers and payers use HeathBI’s automated tools to gain the highest provider adoption and to increase closing rates up to 298% across large provider networks. Our gaps in care solutions don’t just identify care opportunities, they completely change the process and rate of closing. What used to take months now takes a few days.
It is estimated that 50% of readmission patients do not see a physician for follow up care prior to going back into the hospital – this is fixable. High-performing, healthcare providers and payers proactively engage, monitor and navigate population groups with complex medical, behavioral, and long-term care needs through multiple care settings. HealthBI’s clients see an average of 33% increased PCP follow up visits. Our streamlined transitions management module makes this possible.
Now care teams can discover and act on opportunities, together, in a single virtual setting.
Risk Adjustment Factors Management
Over 20% of previously reported conditions drop off members’ records making the management of risk factors an expensive and time consuming manual task for both providers and payers. One of the ways that CareEmpowerTM is ensuring optimal reimbursement for complex patients is by simplifying provider engagement through automated workflows. Our simplified workflow screens alert providers of potential coding issues and provides a fast click-through process to attest and submit the required approval and evidences. This bi-directional automation is a welcomed process improvement over the millions of dollars being spent in chart reviews. CareEmpowerTM workflow is increasing provider adoption, preserving precious resource time and ensuring appropriate reimbursement.
Are your providers equipped with a complete view of their patients’ medication record? Do your care teams get automatic alerts for medication lapses, contradictions or misuse? Will your practice teams have the tools they need to meet the new HEDIS outcomes measures for med adherence? With CareEmpowerTM, providers are given the timely insight they need to reconcile, review and modify a patient’s therapy that can reduce cost and ensure quality outcome measures are met.
In a connected community of care, providers and health plans know when their patients are admitted and discharged from the hospital and ED. Quickly notifying and mobilizing your care team will reduce hospital readmission and avert millions of dollars of spending on preventable hospitalizations. HealthBI’s Event Notification System (ENS) connects, alerts and updates healthcare providers and payers of patients ADT events and outcomes and allows secured messaging for care team collaborative planning.
Work smarter together. The highest level of patient care happens across care teams, includes multi-specialty collaboration, and keeps everyone informed in the full continuum of a patient’s care and outcomes. CareEmpowerTM provides reliable and secure messaging between patients, healthcare providers, and health plan coordinators. In real-time, all care team participants are able to securely collaborate on care plan activity, notify of new events and patient changes, provide oversight on performance status and exchange clinical documentation pertaining to the patient care plan.
One of the biggest challenges providers face with performance based reimbursements, is knowing where they stand on their performance goals from day to day. Managing patient activities according to reports that are two months out of date wastes resources and causes payer provider mistrust and mis alignment. HealthBI tackled this issue head-on. CareEmpowerTM gives payers and providers the ability to closely manage performance activities and outcomes as never before – improving collaboration, trust and and patient health.
CareEmpower’s advanced analytics bring timely insights into performance across providers, care coordinators and contracts. Performance scorecards and dashboards show real time progress of:
With reliable information always available, at last care teams can act in time to make a meaningful difference.
Real value-based care. Real outcomes.
HealthBI’s solutions sit at the intersection of payer and provider workflows and support a joint business models. This new shared business process insight is proving to achieve the outcomes and cost goals that have long been difficult to meet, from value-based care delivery to integrated medical and behavioral healthcare. Just some of HealthBI’s real examples of success: