Emdeon CareComm

Emdeon CareComm is a care communication tool for improving healthcare decision-making. It enables government entities to engage provider networks through pre-care messaging that leverages a real-time eligibility connection, as well as engage their beneficiary population post-care through print messaging. CareComm helps convey important beneficiary health history and analytics at the right point in time to improve the health of your beneficiary population.

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

CareComm offers government entities a total population engagement strategy: engaging provider networks with CareComm eligibility messaging, and beneficiaries with CareComm EOBs and letters. Complementing an organization'scare 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 beneficiaries
• 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 beneficiary and provider population
• Self-service reporting and alert management tools

Benefits

• Complement existing care management programs
• Meet 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