The CareRadius application includes end to end care management tools to support an integrated approach to utilization and case management operations. The solution leverages predictive and prescriptive analytics to precisely identify members for outreach and engagement, as well as workflows to manage and coordinate all clinical interventions. The CareRadius solution facilitates provider collaboration, seamless care coordination, and robust reporting to support compliance and accreditation.
Add-on Capabilities with CareAffiliate®
- Gaps in care
- Care Management program enrollment
- Changes in authorization
- Status of previously submitted authorizations
- Authorization pre check
- Auto adjudication
- Care collaboration with providers
- Requesting a care management program
- Determination in member enrolled in a care management
- Member campaigns
Digital Intelligence is the foundation of everything we do and inspires our ideas and research.
For businesses that aren't satisfied with good enough, or profitable enough, we use Digital Intelligence to deliver real results.
EXL’s clinical teams, analytics experts, and care management technologists, backed by unparalleled knowledge of the changing healthcare landscape, deliver solutions that address the industry’s most critical challenges. We partner with clients to achieve optimized outcomes, both financial and clinical.
These efforts have received recognition from healthcare industry analysts; most recently we were named a “Leader” by IDC in the healthcare clinical and financial analytics BPO space, and we were positioned in the “Winner’s Circle” in the HfS Healthcare Blueprint Report.