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

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Categories

Solutions

Description

Product Description:
**We are the industry leader in providing pharmaceutical care management.** The pharmacist’s role in providing pharmaceutical care management for complex, high risk patients is more critical than ever. Pharmaceutical care was literally borne and promulgated by our founders, and our services are based on that foundation. It was our work that led to proving the ROI on medication management services, which led to the design of payor benefits, including for Medicare and Medicaid. We epitomize pharmaceutical care in our services every day - it is woven into our culture and operations. Others try to emulate us, but we see ourselves in a very different category than the other MTM vendors. Every day our pharmacists build real relationships with patients based on knowledge, trust and a partnership where together, the patient and pharmacist identify, prevent, and resolve drug therapy problems. Patients who engage with our pharmacists immediately recognize the value of their “personal pharmacist.” **Our services are not a one-size-fits-all.** We are nimble and proud to provide services and products that are tailored specifically for a client. We address what’s most important to you. From our inbound call, Ask a Pharmacist program, to our high-touch Comprehensive Medication Management program, each solution can be customized to meet your needs. This approach fits in well with our Genoa Healthcare culture and way of doing business. Take our pharmacy business for example. We are the 5th largest pharmacy in the nation, yet we have still maintained our tailored approach to each partner we have, as evident by providing multiple solutions such as different packaging types, refill reminders, mailing or delivering prescriptions, med sync, and assistance with prior authorizations. **Our technology is the most clinically robust MTM platform in the industry.** The Nexus Pharmaceutical Care System is our proprietary, workflow-based platform built to support pharmacists and other clinicians in providing best-in-class Pharmaceutical Care Management. Nexus interacts with our Asset Builder tool, a Visio-based rules engine that allows us to easily update or customize workflows to best suit your needs. Whether clinical guidelines have changed, new business requirements are identified, or reporting elements are needed, our workflows are easily adaptable. The Nexus platform: • offers a longitudinal electronic record with a **360° view of the patient** • supports multiple clinical programs including P**art D MTM, EMTM, med rec, adherence, and more** • provides clinical decision support and **personalized care plans** • **interoperates** with other systems (like EMRs, Care Management platforms, ADT feeds, etc.) • supports **several data feeds** such as demographics, prescription, medical claims, lab data • **accepts real-time HL7** notifications from connected hospital and HIE systems • communicates with providers and **tracks drug therapy problem resolutions** • interacts with an advanced telephony system that **optimizes our outreach**
About Genoa Healthcare:
Dedicated to serving the needs of those in the behavioral health and addiction treatment communities, and others who have complex, chronic health conditions, Genoa Healthcare is the largest provider of pharmacy, outpatient telepsychiatry and medication management services. With over 15 years of experience, Genoa Healthcare serves more than 800,000 individuals annually across the United States. Everything we do is informed by our CARE values: Caring, Accountable, Results-Oriented and Ethical.
Product Description:

Innovaccer’s care management solution enables health systems to drive cost-effective, coordinated care with an integrated solution to unlock value for health plans, from care management to referrals to prior authorization. The patient-centered solution that connects every care journey touchpoints into personalized 1-to-1 health moments powered by 360-degree patient profiles and prospective patients inclusive of EMR, clinical, financial, SDoH, patient data for better care delivery. With predictive models, the solution can predict any health system’s total cost of care to a much higher degree of accuracy than industry standards for better management of resources. It also offers wide range of workflows that assists cares teams to simplify redundant tasks, bridging care and coding gaps, facilitating contextual, relevant, and dynamic bidirectional communication to deliver care outcomes. 

About Innovaccer:

Innovaccer is a healthcare technology company that aims to revolutionize the way healthcare organizations collect, analyze, and leverage data to transform value-based, patient-centered, equitable care. Our mission is to connect and curate the world’s healthcare information to make it accessible and useful. The company provides a comprehensive suite of solutions that empower healthcare providers, payers, and life sciences companies to deliver efficient care and drive innovation in the industry. The Innovaccer platform unifies patient data across systems and care settings, empowering your organization to provide higher quality care to patients and populations, while reducing costs, improving experiences, and strengthening financial and operational performance. Innovaccer’s EHR-agnostic solutions have been deployed across more than 1,600 hospitals and clinics in the US, enabling care delivery transformation for more than 96,000 clinicians, and helping providers work collaboratively with payers and life sciences companies. Innovaccer has helped its customers unify health records for more than 54 million people and generate over $1 billion in cumulative cost savings.

Compatibility level

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Clients

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Use Cases

Description:
Our typical pharmaceutical care management approach is focused on patients living with multiple, complex chronic conditions.  While this does not commonly include adolescents, the way we manage drug therapy and provide patient care does not change based on age.  We believe for the right, high risk population, medication management would be an extremely valuable service for pediatrics where we can make a positive impact.
Pediatric use cases:

None provided

Users:

None provided

Description:
- Chronic care management for the pediatric population. - Customized mapping algorithms for New-borns and same-gender twins
Pediatric use cases:
InGraph provides a pediatric contract management solution to track: - Forty-plus pediatric measures performance - Seventy-plus quality, utilization and cost measures - Real-time analysis of ED utilization
Users:
C-level executives, Care Management Supervisors, Physicians, and Data Analyst

EHR Integrations

Integrations:

Ancillary EMR, ADT, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Other

Hardware Compatibility:

Desktop

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Credentialing, Other

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Allscripts, Allscripts/Eclipsys, athena, Athenahealth, Azalea Health/Prognosis, Cerner, eClinicalWorks, Epic, GE, Healthland, McKesson, Meditech, NextGen, Other

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:
The Nexus Pharmaceutical Care System is the most clinically robust MTM platform in the industry. In fact, we’ve gotten that feedback from auditors as well as other MTM vendors. It is a workflow-based platform designed to look and feel like a longitudinal, electronic health record. It maintains all clinical and program-based information within a chart, giving users a 360-degree view of each patient. Nexus supports all clinical programs and interventions, including (but not limited to): Medicare’s Part D Medication Therapy Management (MTM) program, Enhanced MTM, adherence, gaps in care, transitions of care, medication reconciliation post-discharge, and more. Nexus enables the ability to consistently apply the highest levels of clinical expertise to medication management with: 1) User-friendly nature of Nexus, accessible to all different types of users, 2) Data exchange and interoperability required to provide effective and coordinated care, 3) In-house analytical rules engine used to drive complex member targeting and risk stratification, 4) Clinical and administrative operational processes via tasks, workflows, and communication tools, and 5) Reporting and analytics necessary to measure individual and team performance, demonstrate an ROI, and meet regulatory requirements.
Differentiators vs Competitors:
Nexus supports the delivery of comprehensive medication management services and the administration of a variety of clinical programs. Nexus meets all requirements of the Medicare Part MTM Program; in which we’ve continued to achieve 100% passing rates for all data validation audits. Special features: • Responsive, secure, browser-based application that works across many devices and platforms • A core electronic medical record (EMR) functionality • Intelligent, automated patient goal setting and drug therapy monitoring, enabling goals of drug therapy to be set for the circumstances of each individual patient • Directed, smart, configurable clinical and administrative workflows to ensure efficient medication management program delivery and focused evaluation and categorization of drug therapy problems and subsequent care plan creation • Medication therapy tailored clinical decision support content and authoring tools to create additional customized decision support content • Links to standardized code sets for all content (SNOMED, ICD-10, RxNorm) • Real-time data integration interface with a leading third party provider data source provides up-to-the-minute updates of provider information • Queues, tasks, appointments and actions direct activities of role based users for efficient program administration • Highly customizable and flexible document and template generation engine, builds to Microsoft products • Automated outbound and inbound electronic facsimile transmission with tasks for management of failed transmissions and processing of inbound facsimiles for action and attachment to the patient profile • Technical flexibility for interface with information exchanges and external applications and EMRs The solution is intuitive, user-friendly, and requires minimal training as it facilitates intelligent workflows to guide patient care.
Differentiators vs EHR Functionality:

An intelligent care management solution that empowers care teams to drive an outstanding care experience through Innovaccer’s unified patient record, comprehensive care platform with integrated workflows and advanced analytics. Care Management solution delivers actionable insights to care teams, helping them drive personalized and impactful care at every step of the patient journey. It also allows them to effectively prioritize clinical needs and care gaps while simultaneously tracking their performance to create best practices going forward. 

Differentiators vs Competitors:

While most of our features and functionality are pre-built, we collaborate closely with each client during the negotiation and implementation phases of each project to customize reports, workflows, etc. to best meet each client’s needs, and are willing and able to adapt our roadmap and client-specific efforts to further adapt our integrated data model platform and integrated applications.

Innovaccer understands that value-based organizations require cohort-driven, strategy appropriate, and tactically relevant programs to drive provider and patient compliance. Innovaccer works together with the customer during the contracting and implementation phase to craft multiple programs that take client-specific needs into consideration, including the comprehensiveness and efficiency of cohort-specific evidence-based guidelines; benchmarking flexibility; and multiple risk model assignment.

Keywords

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Company Details

Founded in 1999

Founded in 2014

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