For High Quality and Compliance, Focus on the Member
Everything about value-based healthcare focuses around the member, and so should your system. MedHOK looks at Member Engagement through the lens of the members’ complete experience, from point of sale to full-on care management. Successful engagement meets the member at all touchpoints throughout the care continuum and through their preferred method of engagement.
MedHOK provides full-function member engagement through proactive features, such as MP (MarketProminence) Sales and Marketing, MP Enrollment, MP Financial Reconciliation as well as the Unified Payer Platform’s Health Education and Outreach, and responsive functions including Member Portal, Customer Relations, Complaints Tracking, Grievance resolution, and world-class service enablement. Plus, MedHOK is always fully compliant with CMS requirements such as eligibility, marketing tracking and reporting, and timely processing.
What’s more, MedHOK’s platform records every interaction, including all current and archived cases, prior authorizations, interventions, appeals, grievances, complaints, over-the-counter medication, clinical surveys, notes, correspondence, and more, at the patient level for easy retrieval and audit.
With real-time access to member data, MedHOK’s Unified Payer Platform enables payers to more effectively enroll, educate and outreach to members, and be responsive to their needs. This unwavering commitment to member service yields high member satisfaction, making high quality and Star ratings achievable and sustainable.
Member Engagement Components
MedHOK delivers proactive and responsive member engagement capabilities throughout the member engagement cycle, from fully compliant eligibility and enrollment through world-class customer support enabling organizations to boost quality scores and drive unparalleled customer satisfaction.
Learn more about the Member Engagement components in MedHOK’s Unified Payer Platform by clicking the titles below.
Focus on the Member: The Premise for Value-Based Healthcare
Value-based healthcare requires a focus on the member, quite a shift from the provider-centric, transaction-focused models with which payers are familiar. This paper discusses how a focus on the member will result in better quality, care, and outcomes.
Fill out the form to the right to download the paper now.