Care Collaboration

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®

Provider
Messages
  • Gaps in care 
  • Care Management program enrollment 
  • Changes in authorization
Authorizations and Care Plan Sharing
  • Submission 
  • Status of previously submitted authorizations 
  • Authorization pre check 
  • Auto adjudication 
  • Care collaboration with providers
Program Enrollment Referral
  • Requesting a care management program 
  • Determination in member enrolled in a care management
CareRadius®
Connect
  • Member campaigns
Intelligence

Digital Intelligence is the foundation of everything we do and inspires our ideas and research.

Real Results

For businesses that aren't satisfied with good enough, or profitable enough, we use Digital Intelligence to deliver real results.

Why exl
Digital Transformation. Strengthened by deep knowledge of domains.

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.

16M+ American
lives touched by CareRadius®
LEADER
Everest Group: Clinical Care Management Services and Healthcare Analytics PEAK MatrixTM Assessments (2019)
2,350+
Global Clinicians

Contact US