Optimizing Care Management Resources
Every health care payor struggles with the challenge of how to best leverage limited dollars to have the greatest impact on member health and costs. Lack of integration among health care utilization, case and disease management efforts and poor communication between plans and physicians, as well as paperwork overload, are everyday problems for many payors.

The CareEnhance^® Clinical Management Software (CCMS^®) suite provides a robust, flexible and highly scalable member-centric solution that helps payors decide where to focus their resources, better coordinate care through workflow automation and effective communication, integrate data at key points in the workflow, and base their interventions on evidence-based standards of care.

Delivering Wide-Ranging Benefits

Predicts and identifies members with potentially high costs
Eases care management staff workload, boosting staff satisfaction and retention
Streamlines workflow and increases information sharing for enhanced productivity
Increases the effectiveness of health case, disease and utilization management
Uses clinically proven criteria to make consistent care decisions and meet regulatory standards
Promotes regular contact with members and improves outcomes
Strengthens physician satisfaction through seamless plan-physician interactions
Reports on data gathered through CCMS, allowing payors to track outcomes and identify program improvement opportunities

CareEnhance Clinical Management Software (CCMS)

CareEnhance Care Manager
Care Manager combines case, disease and utilization management into a seamless process and improves communication among care managers for better outcomes.

Care Manager Remote Feature
Care Manager Remote brings all the functionality of CareEnhance Care Manager to laptop and tablet computers, so care managers can easily work in the field free of the network server.

CareEnhance Care Strategies
Care Strategies provides a set of case and disease management standards to help case managers provide optimal treatment consistently for specific high-cost, high prevalence conditions.

CareEnhance Disease Monitor
Disease Monitor uses payors' medical and pharmacy claims to identify and monitor chronic diseases early, when interventions can be most beneficial.

Products & Services

Care Management Workflow Software

CareEnhance Clinical Management Software (CCMS)

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