Health Plans

Run your business operations and proactively manage the health of your members on a single platform—generating a more complete picture of member health and risk

Administration & Operations

Shrink the footprint of wasteful administrative processes. Track enrollment, manage benefits, authorize services, and pay claims and capitation.

Administration & Operations

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Portals

Automate communication with members through global announcements and member specific reminders. Show providers risk scores and tools to resolve care gaps. Employers can view employee coverage status and relevant analytics.

Portals

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Medical Management

Utilization management tools automatically assign statuses and track turnaround times. The software manages referral steering, generates letters, and tracks bed days. Network management provides real-time recommendations for finding appropriate providers.

Medical Management

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Provider Collaboration and Automation

Automate the exchange of clinical insights, authorizations, and event notifications. Payers have direct opportunities for promoting preventive care – supporting initiatives for healthier, happier members and lower administrative costs.

Provider Collaboration and Automation

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Enterprise Analytics

Schedule and deliver actionable clinical and business intelligence to manage member populations. Analyze progress and benchmark performance on operational metrics.

Enterprise Analytics

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We’re thrilled about the real-time bidirectional exchange of health information at the point of care. It supports our vision for Corewell Health, which is to make health simple, affordable, equitable, and exceptional. The comprehensive view of patients from the both the provider and payer side of their health history allows us to anticipate their needs better and keep them healthier. With Payer Platform, we’ll be able to exchange information about care management easily, so both the provider and payer stay on the same page, regardless of which group reaches out to the patient.

Read the full article on EpicShare

—Tina Freese Decker, President and CEO of Corewell Health

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