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Provider Organizations

Manage all aspects of member care through an integrated, member-centric platform

Medicare and Medicaid are creating new paradigms for servicing members that include provider-sponsored plans. As part of the emerging regulatory landscape, more and more provider-sponsored plans are being held to the same high compliance standards. Health plans are also delegating compliance, cost, and quality requirements to provider-sponsored plans. MedHOK helps provider-sponsored plans succeed in value-based care.

  • Member-centric platform – Centered on the ability to bring all member data into one system, including all medical, pharmacy and member-related data.
  • Out-of-the-box compliance – Pre-built to meet Medicare, Medicaid, Commercial and Marketplace/Exchange requirements with proactive updates to ensure ongoing compliance.
  • Alignment of member care with quality measures – UM, CM and Quality components all aligned in one platform to drive quality of care plus member and provider satisfaction.

With MedHOK, healthcare management is handled through an integrated platform, simplifying processes, automating workflows, improving efficiencies, and ensuring compliance—all with the goal of providing better quality member care.

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