eQSuite® Population Health Management Technology uses sophisticated software to identify high-risk, high-cost members, categorizing and prioritizing them by illness, severity of illness and identifying any gaps in care. Through predictive modeling, we are able to take your claims and other data to identify members whose health, functional ability and use of health services suggest they are good candidates for care coordination and provide the platform to guide your care for those members.

Features:

• Processes and stores medical records, claims, pharmacy, laboratory and other data feeds.

• Wholistic, evidence-based assessment tools and resources (Modified Morisky Scale to determine medication adherence, depression screening, motivation and activation assessment, literacy, psycho-social barriers and quality of life measurements).

• Predictive modeling that identifies current and future high-risk population members.

• Identifies gaps in care for both medical care and pharmacy compliance.

• Evidence-based, individualized plan of care documentation.

• Comprehensive care coordination software (patient, care coordinator, provider, client administrator portals).

• Prior authorization/retrospective utilization review and management.

• Provider channeling.

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