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.
Care Management Transformation and the Path Forward
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.
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.
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
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.
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:
With CareAffiliate® providers now have a secure, automated, cloud-based communication tool to support the healthcare team at the point of care.
CareAffiliate®, facilitates seamless communication to ease the authorization process between the health plan and provider. Health plans can better coordinate care and trigger messages that flow from CareRadius® to CareAffiliate® in “real-time,” resulting in improved response times.
Our secure Member Message Inbox includes four message types:
"EmblemHealth is committed to providing our members with the tools and resources they need to stay healthy, get well and live better. Our long-standing relationship with EXL is another example of how EmblemHealth works with its business partners to leverage data for better care coordination and improved health outcomes.”
---- Dr. Munish Khaneja (Vice President, Medical Management & Pharmacy Operations EmblemHealth