Case Management
Knowledge is opportunity
New members come to health plans with HCC histories. Knowing what HCCs a new member has not only provides an opportunity for patient outreach, and in the case of chronic conditions, Case or Utilization Management support as well. This proactive intelligence is available when RevenueMax™ is deployed at a plan or provider level.
Similarly, long-term members may become chronically ill and need a greater level of care. CVInfosys’ Risk Adjustment solutions can locate and prioritize these members, and help providers proactively eliminate gaps by optimizing management of patients with chronic conditions in the HCC model.