Better Care Management
Delivers Better Outcomes
MedHOK’s Care Management modules assist in the identification of specific health risks and problems, and the implementation and documentation of appropriate interventions and goals. The Care modules focus on care coordination for improved clinical outcomes, complex case management, and patient-centric population health. The MedHOK platform triggers automated workflows based on identified gaps in care, quality, and/or compliance within the member-centric record, allowing for proper management of intervention.
The Care Management modules identify and target high-risk members, stratifying for varying care interventions and potential medication adherence risks. Structured workflows consistently monitor and intervene on care gaps to accelerate interventions. The member’s medical, pharmacy, lab, and other data are easily monitored from 360Member for a complete 360° view. These modules deliver consistent application of rules, requirements, and medical necessity standards, with clinical and quality mandates aimed at ensuring member outcomes actually improved.