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Medicare

Operate a Strong, Compliant, Quality-driven Medicare Plan

MedHOK’s Unified Payer Platform brings together all Medical and Pharmacy continuum of care applications to address the most pressing needs of Medicare Plans. MedHOK’s Unified Payer Platform was built from the ground up to enable successful and worry-free compliance and audits. MedHOK has demonstrated a strong track record of enabling Medicare Plans to successfully pass CMS compliance audits, and is well known by CMS for the success and preparation of our clients to complete thorough reviews and perennially achieve compliance validation.

MedHOK’s unique ability to provide transparency into all activities that drive Member satisfaction, using proactive and responsive Member engagement functions, drives improved Star scores and improved revenue realization. MedHOK’s unique ability to tightly tie Utilization Management (UM), Case Management (CM), Disease Management (DM) and Quality together into a seamless solution is at the heart of our clients’ success. MedHOK’s embedded HEDIS and PQA certified engines can uniquely tie care gaps into the entire member experience.

Additionally, MedHOK enables one of the industry’s most robust and advanced Model of Care (MOC) solutions for SNPs and MMPs, making our Unified Payer Platform the solution of choice for Medicare Plans.

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Value point headline

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Value point headline

Value point headline

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Value point headline

Value point headline

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“MedHOK crosses every ‘T’ and dots every ‘I’ when it comes to compliance. We have never run a more compliant program for our Medicare members.”

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