Align all medical management activities to drive high-quality member care
Health plan oversight of medical care is a vital part of delivering quality, cost-effective member care. Many health plans and other risk-bearing entities operate multiple medical management systems, causing fragmentation and missed opportunities to improve member care and outcomes.
MedHOK’s Care Management Suite was purposely built to incorporate all medical management activities across the member care journey on a single platform. This unique approach improves the alignment of organizational imperatives to the realities of the settings where member care is managed.
- Case Management
- Disease Management
- Utilization Management
- Provider Portal
- Special Needs Plan Model of Care
- Risk Management (Predictive Modeling/Stratification)
- Long-Term Services and Supports/Managed Long-Term Care
- Medication Reconciliation and Drug Utilization Review
- Pharmacy Quality Alliance and NCQA HEDIS® Drug Adherence Gaps
- Medication Therapy Management