Emdeon CareComm

Emdeon CareComm is a care communication tool for improving healthcare decision-making. It enables health plans to engage their provider network through pre-care messaging that leverages a real-time eligibility connection, as well as, engage their member population post-care through print messaging. CareComm helps convey important patient health history and analytics at the right point in time to improve the health of your member population. Pre-care messaging enhances care by delivering personalized information that enriches the physician-patient interaction. In addition to promoting healthy lifestyles within a health plan's population and provider network, CareComm facilitates cost avoidance by promoting adherence to evidence-based clinical best practices and encouraging preventive care over more costly reactive care.

Prior to the patient encounter, through payer electronic eligibility responses, providers receive personalized, evidence-based care gaps and medication safety messages that inform them of patient-specific needs in a pre-care setting. Informing physicians with personalized, actionable patient health information and analysis at the point of care lets the physician and patient address and remedy concerns that may otherwise go unaddressed and lead to higher costs and poor outcomes. In the post-care setting, CareComm provides member-specific messaging on the Explanation of Benefit statements (EOBs) as well as member and provider letters to encourage healthier behavior.

CareComm offers payers a total population engagement strategy: Engage provider networks with CareComm messaging and members with CareComm EOBs and letters. Complementing a payer's care management program with CareComm facilitates health information exchange throughout the care continuum.

Features

• Identify and prioritize gaps-in-care and medication safety issues for your health plan members
• Actionable and relevant personalized health information delivered throughout the care continuum
• Total provider network engagement through pre-care eligibility response messaging
• Evidence-based clinical guidelines conveyed through print messaging encourage adherence from your member and provider population
• Self-service reporting and alert management tools

Benefits

• Complement existing care management programs
• Meet employer group requirements for disease management programs
• Achieve high provider utilization through convenient workflow
• Improve adherence to evidence-based clinical best practices
• Avoid costs by encouraging preventive care
• Increase health plan revenue by offering an innovative communication strategy to employer groups