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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
Care Intellect™ is a provider performance improvement analytics solution that is designed to manage variations across patient encounters, integrating leading evidence-based practices to improve patient outcomes and discover related cost-saving opportunities. Care Intellect puts patients at the center of care delivery by creating a sustainable environment of continuous improvement within the organization. Our approach achieves impact through setting up governance, building organizational capabilities, investing in enabling technology, and using sophisticated analytics to inform decision-making.
About ConvergeHEALTH:
We create new digital ecosystems to shape the future of health. Businesses and stakeholders across the health care ecosystem—from health plans and biopharma, to government agencies and health care providers, to start ups and tech giants—are all building the future of health. ConvergeHEALTH is committed to delivering solutions that enable these organizations to put patients at the center of health care. ConvergeHEALTH creates new health ecosystems to enable the future of health by combining next generation platforms, deep industry experience and novel collaboration models. We move with the agility of a health startup, backed by the global reach of Deloitte to design and offer platforms and services that empower the shift to value-based personalized health care. We do this by creating digitally connected ecosystems comprised of analytics platforms, industry partnerships, and world-class consulting services, all with the unified vision of putting patients at the center of health care.
Product Description:
MedData uses Predictive Patient Scoring and Segmenting Technology as an important component of our Patient Responsibility/Early Out Services. With this technology, patient data is scored and segmented with predictive analytics to determine propensity to pay. Highly accurate results inform proactive patient outreach with personalized financial data that simplifies the process and drives faster account resolution. This technology ensures that monthly payment plans are tailored specifically to the patient’s financial situation to encourage best outcomes. MedData’s Patient Responsibility/Early Out Services take a patient-focused approach to self-pay account resolution, making it simple and easy for patients to pay with many different means to resolve their bills. We also make the overall process as fast and convenient as possible by offering patients a variety of methods to get involved – phone calls, texting, self-service, payment portal – and we’re there if they do need help. Our philosophy of patient education and compassionate customer service is a key component to our success. We focus on helping patients understand the post-clinical process by providing education on their statement, their balance, and their insurance options. Our dedicated, U.S.-based patient service center has hundreds of Patient Service Representatives (PSRs) with expansion capacity to scale with our clients’ business and we have bi-lingual staff in our call center and translation support for multiple languages. We have a First Call Resolution rate that consistently exceeds 90%. The first time we speak with a patient, we do whatever we can to solve their issue right then. That could mean taking payment in full, setting up a payment arrangement, or calling an insurance company together to help walk the patient through what’s taken place. Our operations and patient pay management system empowers PSRs to have the right information at the right time to customize each call per client and patient. MedData’s PSRs are trained to handle all types of accounts to ensure increased call volume scenarios are handled well within our aggressive quality control requirements. Patients can be overwhelmed by multiple hard-to-understand bills from different sources. We consolidate their bills and provide an intuitive statement to eliminate confusion and make it easy to understand what they owe. Our statements are designed to incorporate client branding and color coded according to urgency – green for timely statements, orange for late statements, and red for statements close to being sent to collections. Our propensity to pay tool uses hundreds of demographic data points to identify patients where additional communication and education can help resolve accounts sooner, as well as what format to use – hard copy statement, phone call, text, etc. The scoring system also can be built to fit contractual recommendations from the client. This technology ensures that monthly payment plans are tailored specifically to patient’s financial situation to encourage best outcomes, and it does not impact the patient’s credit report. With our patient texting technology, you can send first statements directly to patients’ smartphones. It’s much faster than mailing a paper statement and requires less effort for patients to respond, which helps drives patient engagement and improve collections. Our online payment portal is designed to streamline patient balance reimbursements and give patients greater insight into the medical billing process. It consolidates all payments and balances into an easy-to-read dashboard. Our technology also lets providers view all accounts associated with a guarantor, receive documentation, and accept payments in real time. We connect and engage with patients throughout the entire patient financial life cycle, treating them with dignity and respect, and providing opportunity for dialogue and to learn more all along the way.
About MedData:

MedData has been a tenured and trusted healthcare revenue cycle management services provider for more than 40 years, delivering technology-enabled and patient-focused RCM solutions, including Eligibility & Disability, Accounts Receivable Services (ARS), Injury Accounts (Workers’ Comp, Auto, etc.), Veterans Administration, Patient Responsibility/Early Out, COB Denials, and Out-of-State Eligibility. MedData has patient advocates from coast to coast and experience with hospitals and health systems of all types – large to small, rural to urban, nonprofit to for-profit – giving the company a nationwide presence with a local feel that’s scalable to any volume. Click the "Files" tab for downloadable content with more information about our organization.

Compatibility level

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Clients

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Use Cases

Description:
Clinicians and executives are faced with increasing pressure to improve treatment outcomes while simultaneously reducing costs. Administrators and health care delivery teams need visibility into what is happening in the organization if they are truly going to make strides. The challenges are aplenty. The explosion of health care data makes it difficult for people to consume it all on their own. Disparate systems and awkward policies make reports difficult to pull, and can add weeks to the process. Value-based care requires data to be captured across a patient’s life—even while they are at home.
Pediatric use cases:

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Users:
Clinicians & Administrators
Description:

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Pediatric use cases:

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Users:

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EHR Integrations

Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Client Types

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Differentiators

Differentiators vs EHR Functionality:
With Care Intellect, organizations can help care delivery teams be more adaptable and agile because they unlock the power and resources of a giant organization in an easy-to-use analytics solution. Reasons for treatment variation come to light in minutes, and putting transparent reporting capabilities in the hands of care delivery teams helps re-energize practitioners’ passion for caring for people, while delivering more positive outcomes to patients. The analytics solution is designed to help manage variations across patient encounters, integrating leading evidence-based practices that improve patient outcomes while discovering the related cost-saving opportunities. And complementary advisory services help organizations turn those insights into new, sustainable processes that yield better financial performance.
Differentiators vs Competitors:
Deloitte’s Clinical Effectiveness subject matter specialists help providers and administrators develop new organizational processes that result from data-fueled actionable insights. Through this tailored blend of analytics and advisory services, health care providers can improve financial margin and consistency of care with: * Effective, real-time management of performance, utilization, and cost to track impact and sustainability of specific initiatives * Guided and ad-hoc analytics * Customized reports to track impact from strategic/growth initiatives * Integrated data set provides single information source of truth for product and service line profitability
Differentiators vs EHR Functionality:

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Differentiators vs Competitors:

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Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 2014

Founded in 1980

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