Advantmed incorporates unique suspecting and targeting algorithms, along with ELEVATE! Quality Insights and ELEVATE! Risk Adjustment Analytics’ tools to identify opportunities for health plans and providers to build relationships with their members and effectively manage care through targeted modalities. Therefore, making member communication easier and more impactful.
Risk and quality improvement prospects are identified through programs such as health risk assessments, wellness visits, and preventable admissions interventions.
The member engagement solution creates a forum for members to connect directly with their health plan for encouragement in managing their health care needs by providing all the information they need to do so effectively. The solution provides benefits to members by assisting in the management of chronic conditions, tracking health status and concerns, and offering practical advice for staying well.
Health Plan/Provider Benefits:
- Identify risk and quality revenue opportunities
- Build stronger member portfolios
- Identify member population risks and characteristics
- Timely interventions
- HEDIS® gap closures
- Manage member health and wellness
- Connect members with appropriate services for care
- Timely reminders for managing member conditions
- Know member risk and prevent future risk
- Build better and effective member relationships with care providers