Improve member care and achieve operational efficiencies in a competitive market
MedHOK helps Commercial plans improve member care and achieve differentiation in a competitive marketplace. We understand the regulatory environment commercial health plans face and the differing state and contracting rules that often apply. This knowledge—combined with our integrated solutions—help commercial health plans provide better member care and service, improve provider engagement, increase revenue, and achieve organizational alignment.
MedHOK’s Clinical Platform is comprehensive in scope, providing full integration with claims systems and a single structured, automated environment.
- Unify both medical and pharmacy care throughout the care journey and disintegrate typical silos of information with fragmented data
- Gain a comprehensive view of every member through a single member record where all member data comes together
- Achieve organizational alignment and efficiencies through structured workflow and streamlined processes
- State-regulated large and small group commercial risk
- Federally Regulated ERISA
- Medicare supplement
- Specialty Benefit
Commercial Health Plans
As we have seen over the past few years, the 2019 Star announcement shows that…