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Markets Served

ACO and PCMH

Emerging healthcare administrative and delivery models such as Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMH) seek to align the interests of payers, providers and patients by providing a framework for collaborative, evidence-based quality care that focuses on improved health outcomes. Plan sponsor transparency and engaging the patient as a key part of the care team are critical success factors. For these models to be successful, interoperability across many different systems and data stores presents a significant challenge.

Alternative Care OrganizationsThrough our Healthspace Cloud™, HCI provides the healthcare infrastructure to leverage internal and external data and services to provide a collaborative framework that engages both the member and provider, while providing the operational framework and performance feedback to all stakeholders:
  • Through unified services and messaging architecture, HCI provides a means to seamlessly interoperate across complex payer and provider ecosystems such as ACO, PCMH, MCO, TPA, provider networks, etc.
  • Data management and application infrastructure capabilities that provide a uniquely flexible data exchange with existing electronic medical records (EMRs), clinical systems, hospital and lab records, claims, and medication history, all centrally stored in a private and secure HIPAA compliant database.
  • SOA-based architecture to accommodate the emerging data needs and healthcare functionality of our partners. This includes data that may not be part of your current data model, but is important to your constituents and must be incorporated into your mutual business operations, both now and in the future.
 

Third Party Administrators and Benefit Administrators

With a focus on improved outcomes and better value in healthcare, HCI enables TPAs and Benefit Administrators to leverage their client data to improve client service delivery and expand services offered. You have the client data, but can you transform this data into a strategic asset for you and your clients? Are you managing multiple applications and databases, but have limited ability to integrate and present all this information to your clients?

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The Healthspace Cloud™ provides you with the back office infrastructure to support your service delivery, from client implementation through service delivery.

With HCI, you can quickly integrate all of your data and applications to implement Healthcare Performance Management for your clients:

Measure:  Point to Point Active Reporting drives risk stratification and predictive modeling to identify the risk and cost drivers of your client's health plan, today and in the future

Manage: Point to Point Active Reporting and Point to Point Campaign enables you to create risk specific, targeted outreach programs to member populations based on any risk factor

Engage: Point to Point Member Engagement provides multi channel healthcare marketing campaigns and interactive care plans to the members where they are: on the web and via Android and iPhone.

Automate: Point to Point Administrator provides the workflow-driven automation that allows for continuous process improvement via user-defined KPIs to measure the success of your programs, in real time.

The Healthspace Cloud provides you with a healthcare infrastructure to integrate your existing data and applications into a unified client dashboard  for improved client service delivery and transparency necessary to maintain your competitive advantage.

Health and Medical Management

With a focus on improved outcomes, collaborative care and better value in healthcare, HCI provides a full healthcare infrastructure, enabling healthcare management providers to leverage their patient data for clinical decision support, collaboration and interactive member engagement. Built-in data management and productivity tools improve operational efficiency to allow for improved service delivery and client transparency.

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The Healthspace Cloud™ is the next-generation solution for data-driven population health management. The risk modeling engine goes beyond traditional risk stratification and can include multiple data sets including medical and RX claims, HRA, lab/biometric data and EMR/EHR patient registries-or any combination thereof. This allows you to perform holistic, sophisticated risk profiles to identify members for enrollment in wellness and lifestyle coaching, or disease and care management programs for targeted intervention.

The Healthspace Cloud™ provides the operational framework for communication,  collaboration and transparency. HCI integrates, manages, and analyzes data across all your systems and presents it in a unified dashboard for internal and external consumption. Your client view is defined by the services you provide.

Our workflow and reporting capabilities support standards-based care and wellness program delivery, streamlining your business operations and enabling NCQA and URAC certification necessary to stand out from the competition.

Benefit Brokers and Consultants

Reform and a changing healthcare landscape has changed both client expectations and your revenue stream. Your clients demand a higher level of transparency and strategic value to help them understand the cost drivers of their health plans-and what they can do to reduce that cost while increasing the value of the benefits they offer their employees.

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HCI enables brokers and HR consultants to leverage their client data to enhance the strategic value of the services offered. You likely have many systems at your disposal, but are they working together to create consistent, transparent and meaningful insight for you and your clients? The Healthspace Cloud™ provides the operational framework for analytics, reporting, and member engagement through healthcare marketing campaigns. HCI integrates, manages, and analyzes data across all your systems and presents it in a unified dashboard for your account managers and client stakeholders.

With HCI, you can quickly implement Healthcare Performance Management as a foundation re-invent your business model.

Measure: Point to Point Active Reporting drives risk stratification and predictive modeling to identify the risk and cost drivers of your client's health plan, today and in the future

Manage: Point to Point Active Reporting and Point to Point Campaign enables you to create risk specific, targeted outreach programs to member populations based on any risk factor

Engage: Point to Point Member Engagement provides multi channel healthcare marketing campaigns and interactive care plans to the members where they are: on the web and via Android and iPhone.

Automate: Point to Point Administrator provides the workflow-driven automation that allows for continuous process improvement via user-defined KPIs to measure the success of your programs, in real time.

The rising costs of healthcare, the focus on improved outcomes, and a rapidly changing healthcare environment are driving innovation among providers and payers to improve delivery, quality, and patient satisfaction. 

Healthcare Interactive delivers a secure, cloud-based SaaS/PaaS platform dedicated to all participants in healthcare, driving a new era of Healthcare Performance Management powered by BIG data.

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The Healthspace Cloud™ integrates and aggregates disparate healthcare data and redelivers that data as knowledge to the appropriate stakeholders, enabling communication, transparency, collaboration and engagement across the healthcare continuum.

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Our clients have achieved tremendous results through the use of our technology. They have increased member engagement, improved health and reduced costs immediately.
#1 Reason Why Organizations Choose Us:
"Healthcare Interactive's technology allows our organization to manage health care costs while providing the highest quality benefits."

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