CARE MANAGEMENT TECHNOLOGY

CARERADIUS®

EXL’s flagship CareRadius® platform integrates data from multiple sources and shares it in real time among health plans, practitioners and members. It offers a holistic member view that automates identification, stratification and medical management for targeted, individualized interventions to improve health.

The result is enhanced clinical decision-making, improved workflows, and reduced administrative costs. When fully deployed, CareRadius® can positively impact operational costs, claim costs, revenue optimization and payment integrity, and fully support total population health management.

  • CareRadius® Authorization
  • CareRadius® Referral (Predetermination)
  • CareRadius® Appeals
  • CareRadius® Case Management
  • CareRadius® Disease Management
  • CareRadius® Quality / Complaints
  • CareRadius® 360 View
  • CareRadius® /CareAffiliate® Auto Approval
  • CareRadius® /CareAffiliate® Gaps in Care Alerts
  • CareAffiliate® Provider Messaging
  • CareAffilate® CarePlan Sharing
  • CareFind Member Campaigns
  • CareRadius® Connect Messaging
  • CareRadius® Connect

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THOUGHT LEADERSHIP

Care Management Transformation and the Path Forward

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CARERADIUS® CONNECT

An add-on module to the CareRadius® platform, CareRadius® Connect automates member outreach, extending the ability to proactively reach members and improve outcomes.

CareRadius® Connect can boost enrollment in wellness, disease and care management programs, improve quality measures, drive medication adherence, and notify members of out-of-range metrics and lab results.

CareRadius® Connect was specifically designed and configured to trigger automated member outreach. Connect with members in the channel that best meets their needs: voice or text. Best practice scripts are included.

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CAREADVISE

CareAdvise delivers the surveys, assessments and care plans that power the CareRadius® medical management solution for organizations that lack the resources or time to develop and maintain evidence-based clinical content.

CareAdvise enables case managers to make focused inquiries to members through surveys and assessments, which are pre-populated based on skip and branch logic. The responses automate evidence-based care plans that include short- and long-term goals, issues, interventions and barriers for the patient. These plans become the basis for engaging the member, implementing change and improving clinical outcomes.

Using evidence-based clinical content to improve outcomes.

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DATA VISUALIZATION TOOL

Make faster and more accurate business decisions.

EXL Healthcare’s CareRadius® Suite provides agile reporting that allows users to quickly access, visualize, drill through and share data to improve business outcomes and address business questions: e.g. why are my denials and appeals high for this facility?

Receive the added benefit of CareRadius® elasticubes with dashboards created, and maintained by EXL as part of our reporting package

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RIGHTFAX®

Healthcare organizations are constantly under pressure to improve the handling of faxed documents, which can decrease efficiency and increase administrative costs.

RightFax® provides a default integration solution through CareRadius® (Patent pending) which allows for bi-directional capabilities to promote collaboration, resulting in better quality outcomes for the member.

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CARERADIUS® DIRECT

EXL Healthcare’s mobile solution, CareRadius® Direct, allows member surveys to be conducted when a care manager is out in the field.

CareRadius® Direct supports the use of surveys from your mobile device while adhering to security standards and maintaining compliance.

Key features of CareRadius® Direct include:

  • The Ability to collect survey responses directly into CareRadius®
  • Ensures compliance with NCQA/CMS/URAC state regulations for completing necessary surveys
  • Provides survey templates and member records that will sync with your mobile device and then back to CareRadius®
  • Capture and export electronic signatures

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Mail

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New York, NY 10017