Integrated Whole-Person Care

Whole-Person Integrated Care

To Solve for Social Determinants of Health at Scale

With the increased pressure on providers to better engage and manage members with chronic illnesses, payers can’t expect to improve their outcomes without rethinking their approach. Let us help.

Say hello to Intelligent Collaboration for Whole- Person Health

CareEmpower^® has developed a collaborative management system for payers, providers, and community-based organizations. The Intelligent Collaboration model focuses on shared technologies and scalable provider support services. As a result, cost and quality goals are aligned. Traditional business barriers are broken down. And ultimately, the member care has higher outcomes leading to optimum whole health.

Quality and Risk Management
Social Deterimants of Health
Member Engagement
Provider Enablement

"HealthBI integrates with our state HIE and allows us to share patient data across a community of providers and specialists."

Vanessa Holt
Director of Strategy & Integration
Community Partners Inc.

Quality and Risk Management

Improve the quality of care for complex members with a technology solution that effectively compiles and shares data and tracks performance for each provider’s workflow and across local communities.

The CareEmpower^® operating model enables a provider to do the following:

Readily share actionable data and feedback with health plans, care teams, and community resources
Quickly prioritize and close care gaps to meet quality and cost performance metrics
Easily gain a real-time view of member status, even during critical transitions

Social Determinants of Health

Social and Cultural Determinants of Health can impact up to 90% of a patient’s medical outcome. Coordinating medical, psychological, and social supports for these high-risk members, requires a more comprehensive care approach.

The CareEmpower Operating Model effectively allows providers and health plans to address social and cultural barriers to health with the following features:

Process integration with community-based resource organizations for referral, enrollment, and feedback reporting
Scalable model for region-specific resource development

Centralized care planning and documentation of critical member conditions, events, and risk assessments in a unified provider workflow
Customizable risk and cultural assessment tools, services and reporting

Member Engagement

In the new climate of Medicaid, providers must mold to the realities and preferences of their members. CareEmpower incorporates state-of-the art technology and provider resource support services that increase practice capacity, streamline workflows and increase member self-management and satisfaction. Capabilities include:

Real-time provider notification of high-risk member events and care gaps
App-enabled member outreach, reminders, and risk assessment tools
Referral notification and acceptance tracking
Outsourced services for clinical and non-clinical member activities

Provider Enablement

The CareEmpower operating model is a unified workflow platform that streamlines practice operations, unifies fragmented data for providers at the point of service, and provides practice performance training for a guided implementation approach. Capabilities include:

Alignment of workflows and performance metrics with daily activity updates that providers can trust
Prioritization of open tasks based on risk factors, clinical event triggers, and contracted care gaps
Practice performance optimization consulting services

A longitudinal patient record with real-time events, claims, labs, medications, and assessments that will allow informed point-of-care decisions
A targeted, rules-based approach to effectively coordinate tasks, communications, assessments, and outcomes