The disruptive changes within the healthcare industry have forced risk-bearing entities such as insurers and ACOs to assess new ways to leverage technology to manage the health of their entire member population and more quickly and efficiently process claims. EXL Healthcare’s Population Health Solutions group has designed cloud-based clinical care management solutions that improve member outreach driving better outcomes.
The patent pending CareRadius® suite integrates data from multiple sources for insurers and practitioners to enhance clinical decision-making, improve workflows, and reduce administrative costs. With cloud deployment the solution suite enables care management-as-a-service via a BPaaS model.
An add-on module to the CareRadius® platform, CareRadius® Connect automates member outreach, extending the ability to proactively reach members and improve outcomes.
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.
CareAffiliate® integrates member data and connects remote providers to clinical staff, while streamlining care functions including authorization and referrals, inpatient admission notifications, and program enrollment requests.