Health plans and insurance companies have historically focused heavily on managing and reducing administrative costs.  Significant attention is now being targeted at reducing medical costs which represent a far greater proportion of overall costs.  Even small gains achieved through effective Care Management (CM), Disease Management (DM) and Utilization Management (UM) programs can result in significant improvements in quality of care, medical costs and operating profits.

Care Management applications enable automation of payer care management processes, improve information exchange between payers, members and providers and support member self-care. Care management applications help you:

• Stratify and identify high risk, high costs members
• Easily and securely access member claims, benefits and authorization information
• Automate care management workflow
• Develop dashboards and customized reports that help you focus your care management activities
• Balance workload of Care Management team members
• Enable enhanced member self care through personalized content and health risk assessments
• Streamline communication and information exchange with providers and members

eHealthPartners Care Management consulting team can assist you in enhancing your CM / DM / UM programs and selecting, implementing and optimizing your care management applications.  We are experienced with successfully implementing the industry’s leading care management applications such as MEDecision’s Alineo® product, TriZetto’s CareAdvance® Enterprise (CAE) Suite and McKesson’s CCMS® product.

Our Care Management Consulting Services include:

• Assessment of current CM / DM / UM programs and capabilities
• Development of enhanced Care Management strategies
• Evaluation and selection of care management application software
• Creation of evidence-based care guidelines and template-driven care plans 
• Implementation of Care Management applications
• Project Planning & Management
• Business and Clinical Analysis
• Business, Clinical and Technical Requirements Definition
• Process Design & Improvement
• Configuration Design and Build
• Content Build (HRA's, Campaigns, Profiles, Letters, Forms)
• QA & Testin
• Customized User Application & Process Training
• Performance Tuning                  
• Upgrade Gap Analysis
• Testing and QA
• Evaluating and reporting Care Management outcomes
• Upgrade implementation and technical support
• Clinical workflow automation
• Development of dashboards and customized CM / DM / UM reports
  

eHealthPartners helps you enhance your CM / DM / UM capabilities, achieve better member health outcomes and reduce overall medical costs.

To read and print more information on our Care Management Consulting Services click below 
EHP Care Management

To learn more please call us at (678) 387-6330 or email us at sales@ehealthpartners.com