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MedHOK’s Model of Care Solution

Model of Care Solution

Solution Overview

MedHOK’s Model of Care solution enables Special Needs Plans (SNPs) to fully support compliance with CMS and state-specific Model of Care requirements and to integrate care management with pharmacy, UM, HEDIS and more. MedHOK’s Model of Care helps SNPs simplify and integrate functionality such as Care Gaps and Medication Management into overall care programs, thereby, improving population management and health and quality outcomes. Our Model of Care solution was built from the ground up as a dedicated module that is designed to handle the complexities of the most detailed special needs care plans and has the flexibility to be customized to manage your unique and personalized Model of Care. This system architecture provides fluid flexibility to quickly adapt to the ever changing compliance needs of a Model of Care. Updates and enhancements are prioritized and expedited for any and all compliance changes.

Customers use this solution to:

  • Successfully pass CMS and State regulatory agency audits for Special Needs Plans (SNPs)
  • Create and automate member-centric care plans from their HRA to meet plan-specific processes and measures
  • Enable an integrated solution across a single platform along with Care Gaps, Predictive Modeling, Star Ratings, HEDIS and many other modules

Have You Considered …

With Model of Care, you may also want to manage related functionalities on one platform to ensure compliance, improve efficiency and productivity, and deliver better quality care. Consider adding these MedHOK solutions:

Utilization Management
Care Management
Medical Appeals


Achieve compliance adherence with CMS and State regulatory agencies for all model of care requirements


Drive impressive productivity improvement through automated workflows and reduced manual documentation


Free nurses from mundane tasks to deliver premium care with automated reporting providing real-time compliance adherence

Request a Demo

See How Industry-Leading Payers Use MedHOK’s Model of Care Solution

Please complete the form and let us know which capabilities you would like to see. One of our demo specialists will contact you to schedule your custom demo.

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