Support Personalized Delivery, Improve Healthcare Outcomes, Control Costs
Healthcare management is becoming increasingly complex and fragmented, resulting in less than desired outcomes at greater than desired costs. Healthcare stakeholders need to connect easily in a secure, member-centric environment. Only by managing members' current health concerns more efficiently and promoting lifestyle changes more effectively can you improve the quality of care while also containing costs.
Atlantes Health Care Management Solution Helps Plan, Coordinate and Manage Cost-effective Care For Members
Designed by clinicians, Atlantes provides everything needed, from wellness to chronic disease programs – to manage a member's healthcare. It is a comprehensive, scalable solution that adapts to our clients' changing needs, helping them best manage their clinical, financial and patient outcomes for higher-quality, more cost-effective healthcare.
Atlantes facilitates true coordinated care and informed one-to-one interaction by providing a single point of view of patient information across the system. It helps reduce costs by automating and streamlining the care management process for high-risk or chronically ill patient populations.
What you can achieve:
- Improve members' education and understanding of health options
- Increase compliance with treatment plans
- Improve patient satisfaction
- Measure patient success and ROI
- Increase operational efficiency
Because of its modular design, Atlantes is scalable and easily integrated with legacy applications. It's also available as a shared service – a cost-effective approach that allows you to add additional features either as you need them to meet specific needs, or all together for a comprehensive health care management solution. Features include Prior Authorization, Utilization Management, Case Management, Disease Management and Lifestyle Management.
Pinpoint Members With Chronic Conditions and High-Risk Behaviors
The early identification of at-risk members is critical to effective care management. Using Atlantes, care managers can pull claim information to identify individuals who have, or are at a high risk of developing a chronic condition. They can also administer health assessment questionnaires or verbal interviews to pinpoint members with high-risk behaviors. They can then work one-on-one with these members to develop a wellness strategy that will improve their quality of life.
Keeping members healthy keeps your costs down. You can help member stay healthier by:
- Ensuring they understand their health options
- Expanding their knowledge of health prevention
- Increasing their compliance with treatment plans
Improve Documentation Consistency and Collaboration
When different processes and systems reduce the ability to share information quickly and efficiently it can delay a member's treatment and subsequent care planning. Atlantes integrates clinical workflows and data into a single patient-centered view. Care managers can document details and share critical information on prescribed medicines, checkup results, lab results, ongoing care and more to lower costs and deliver better-quality care. Nurses see the same data and they see all of it – no more jumping in and out, incomplete views or multiple log-ins. That's a big step up in both efficiency and effectiveness.
Facilitate:
- Utilization reviews
- Health risk appraisals
- Surveys
- Health and wellness programs
- Reporting
- Analysis
Atlantes also protects the confidentiality of members' health information as mandated by the HIPAA privacy regulations.
Monitor Progress and Improve Member Satisfaction
With Atlantes, care managers are better equipped to coach members on ways to enhance their health by changing their lifestyle. Patients with chronic diseases can be tracked and provided with superior, cost-efficient treatment.
Track and report:
- Patient problems
- Patient goals
- Recommended interventions and outcomes
- Results from patient satisfaction surveys
Care guidelines allow for the establishment of monitoring rules and follow-up time frames. Triggers and alerts can be set up for proactive, ongoing communication with members.
Measure Success Against a Combination of Outcomes
You can also use data feeds from Atlantes in your decision support applications. Having empirical evidence of improved medical outcomes, financial outcomes and patient satisfaction can help garner support from healthcare providers and customers for your programs. Atlantes can help you:
- Compare costs of services between settings
- Monitor the outcomes of long-term support services
- Collect data for population-based reporting
- Integrate data to provide consumer-centered “one-stop” entry points
- Exchange data between a Medicaid organization and the resource center
- Collect data to enable Medicaid organizations to describe key components and outcomes of their quality assurance programs and strategies
- Monitor patient appeals and grievances
For more information about what HP Enterprise Services can do for you, submit a business inquiry.