CareIQ for Health Cloud is a robust platform that connects payers and providers with the deepest and most actionable MCG integration available to quickly access evidence-based decision support without the hassle of toggling between software applications. It streamlines workflow among payers and providers, optimizing communication to augment knowledge-based care and financial health decisions while managing risk. As a result, payers reduce costs, more efficiently utilize medical professionals, and empower members with their health.
Utilization Management
Through automated support of multiple payer workflows, CareIQ for Health Cloud helps insurers transform the pre-authorization process including speeding staff access to decision support knowledge. MCG benchmarks are presented in an interactive and actionable way for workflow automation and analytics.
Get Utilization Management On The AppExchangeCare Management
User-friendly access to MCG Chronic Care Guidelines and Transitions of Care content delivers evidence-based assessment and care plan standard guidance (including behavioral health guidelines) to care managers right when it’s needed to provide positive patient experiences and help reduce the length of stay.
Get Care Management On The AppExchangeSocial Determinants of Health
Care Management and Population Health programs must account for members’ social determinants and barriers to care. Automated identification of barriers and evidence-based interventions is critical in understanding a member’s needs and creating a compliant personalized care plan. Further, streamlined workflow for referring members to social care providers closes the loop on preventing SDoH from impacting care plan outcomes negatively.
Triage
With automated support of multiple workflows, CareIQ helps payers triage members cases with this guided symptom checker. Ideal for call centers or member portals, CareIQ leverages artificial intelligence (AI) to collect symptoms through guided assessment questions that lead to accurate and actionable triage decision support. Patients can access the consumer version in a portal or mobile device. Clinical and nonclinical can access CareIQ Triage directly within Health Cloud or Service Cloud.
Get Triage On The AppExchangeMember/Patient Engagement
CareIQ provides patient/member-facing collaboration tools to ensure communication is open and transparent, keeping the members engaged to maximize program efficacy.
Care Guidelines Partners
Cadalys is proud to work with these and other great guideline partners to ensure your success with CareIQ.
