Heathcare payer care management workflow applications ease the overall operational efficiency of healthcare care managers and providers.
To qualify for inclusion in the Healthcare Payer Care Management Workflow Applications category, a product must:
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Helps you meet pressures with a full range of BPO and turnkey healthcare administration solutions, including advanced technologies and strategic consulting services designed to help you optimize member outcomes, focus on revenues, and manage risk to remain compliant
HMS Essette care management technology offers a robust alternative to "shrink-wrapped" software. Our web-based applications are written in Micosoft.NET and utilize a Microsoft SQL Server database. Most often, clients often prefer to host our software behind their firewall but we also offer a hosted model. Unique in its agility, HMS Essette provides an intelligent solution for clients across the continuum of care.
MedHOK is the industry's first and only Unified Payer Platform that unifies and makes actionable members' medical and pharmacy history, appeals and grievances, enrollment data, interventions, claims, communications, and every interaction with the plan, provider, or business partner into one system that spans the entire enterprise.
Veradigm understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest quality of care and optimizing health outcomes for their members.
Wambi is a gamified-digital employee performance system powered by real-time patient feedback. Through recognizing compassionate care and empowering individual care providers, Wambi facilitates behavioral change and real-time service recovery, while rewarding outstanding care.