With the advent of population health management, providers and health plans are actively monitoring patients/members that are at risk for non-compliance and costly resource utilization. By prospectively identifying gaps in care, providers and health plans can use targeted and timely interventions to address and close gaps in care.

Our SCIOClarity™ Member Outreach & Provider Collaboration Service is a prospective end-to-end solution for closing care gaps. The service includes provider engagement, patient/member outreach, data collection, coding and data entry.

Benefits:

  • Improves care delivery and overall health while reducing avoidable expenses
  • Enhances continuity of care through collaboration between plans and providers
  • Arms providers with patient-specific, actionable information to close gaps real time
  • Helps to improve risk scores which can impact CMS revenue
  • Supplements your internal resources to engage providers and members

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NCQA

Learn how health plans can improve their CMS revenue and risk scores

Learn how health plans can improve their CMS revenue and risk scores

Service Feature:

  • Generation of a target list of members with identified gaps
  • Outreach to providers and members
  • Development of patient-specific reporting to support providers when the patient is in the office
  • Coding of physician’s progress notes
  • Data entry of the additional and/or corrected data

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