Enterprise Care Management and Utilization Management Solutions
Incedo Whole-Person Care Platform
For more than 30 years, InfoMC has helped healthcare organizations manage complex populations, with deep roots in behavioral health and an understanding of how physical, behavioral, and social needs intersect. That experience is built into Incedo™, our integrated care and utilization management platform designed to support whole-person care.
Incedo connects the people, processes, and information needed to coordinate care across the member journey. The platform helps organizations streamline care management and utilization management, automate workflows, connect teams and programs, and provide a shared view of the member to improve outcomes, the member experience, and operational efficiency.
Available as a fully integrated platform or as standalone care management, utilization management, and behavioral health solutions, Incedo gives organizations the flexibility to support their specific operational needs while connecting care across teams, programs, and populations.
Integrated Care Management and Utilization Management with Incedo
Incedo brings care management and utilization management together across physical, behavioral, and social health needs to help organizations improve operational efficiency, strengthen care coordination, and support better outcomes.
Incedo is designed to support the complex clinical, operational, and technology needs of healthcare organizations through:
Incedo™
“Only when the impact of behavioral health, physical health, and social determinants of health is considered as part of each member’s care, can we truly achieve person-centered care and advance towards value based care.”
“Data based insights into the impact that those factors have on each person give us the ability to enhance the quality of care and effectively change factors that impede a person’s successful engagement in, and compliance with, care plans.”
-Dr. David Nash, MD, MBA, InfoMC Board Member and Founding Dean of the Jefferson College of Population Health.
Enterprise Care Management and Utilization Management Solution
Built Specifically to Improve Outcomes and Reduce Costs
We built the Incedo care management platform to address the unique needs of healthcare organizations who are responsible for managing the medical, behavioral, and social determinant needs of their members, including:
Our focus on person-centered care enhances the interaction between payers, members, community resources, and providers to improve care quality, engagement, cost, and value, and enables commercial and public-sector organizations to more efficiently achieve their value-based care goals.
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Solutions with INCEDO™
Optimizing Care and Efficiency
Incedo reduces the time spent on plan administration and helps you focus on driving quality outcomes. Our fully integrated whole-person care approach:
- Delivers a comprehensive care management software solution or easily integrates to enhance existing capabilities
- Addresses the behavioral, physical, and social conditions that impact well-being
- Provides intuitive, end-to-end workflows and automated authorizations and interventions for utilization and care management
- Coordinates care across multiple plan offerings with customized content, workflows, and specific program interventions
- Elevates care delivery with improved communication and collaboration among care managers, members, caregivers, and community-based organizations
- Promotes person-centered care with transparency across the care team, both internal and external, through configured role-based access to member information, care plan, and services
- Captures all data required to meet internal and external reporting requirements
- Allows self-service configuration modifications to meet regulatory requirements and support plan preferences
Advantages of the Incedo Whole-Person Care Platform
Our fully integrated Incedo care management platform enables organizations to more efficiently support whole-person care, particularly for populations with complex and interlocking physical, behavioral, emotional, and social issues that are obstacles to good health outcomes. Our customers use our solution to address key regulatory requirements and to increase productivity, improve quality of service and outcomes, and more effectively use information to manage millions of covered lives.
With more than 30 years of behavioral health experience, InfoMC understands the clinical and operational complexities of managing behavioral health and connecting it with physical and social care. Incedo brings that expertise into a single platform designed to support coordinated, whole-person care:
- Integrated medical, behavioral, and social assessments
- End-to-end workflows for clinical and financial behavioral health management
- Individualized care plans informed by assessments and member needs
- Care coordination across mental health, substance use, physical health, and social needs
- Integrated care management and utilization management workflows
We understand that our customers need to modify programs at will to ensure care initiatives are successful. To support this need, we built Incedo to be highly configurable, including the following advantages:
- Configurable to reflect your model of care, workflows, and data requirements
- Intuitive self-service capabilities to address emerging needs and program configurations
- Easily updated to accommodate changing CMS reporting and compliance requirements
The Incedo platform offers features designed specifically to enhance care quality and simplify operations:
- Pre-configured solutions that accelerate implementation and improve performance
- Workflow automation that reduces human intervention while increasing enterprise efficiencies
- Alerts, notifications, and dashboard access to work items that facilitate prioritization and caseload management
Connecting care and utilization management gives teams greater visibility across the member journey, helping reduce handoffs and support more coordinated decision-making. We enhance collaboration by helping you:
- Easily identify appropriate members for CM using integrated UM screening processes
- Rely on rules-driven workflows to seamlessly transition between CM and UM functions
- Share member views across teams to elevate communication and coordination around care plans
Reporting is effortless with Incedo’s seamless data and reporting guidelines that are in alignment with care management and utilization review processes. These guidelines enable you to easily:
- Track and extract data to meet state and CMS compliance reporting regulations
- Create and capture new custom data elements as needed
- Monitor compliance and adhere to standards with structured data
Our industry-leading commitment to security and compliance is evidenced by our certification achievements:
- MARS-E certified: the highest level of federal and state ACA compliance health insurers, state Medicaid agencies, and other ACA administering entities,
- HITRUST CSF Certified Cloud Healthcare Management Platform: meeting key regulations and industry-defined requirements for managing risk
- NIST Security Controls and SOC 1 Type 2 and SOC 2 Type 2 System and Organizational Controls: meeting security mandates for keeping data safe and secure
The Incedo platform also offers fully configurable role-based security capabilities that protect data integrity according to your custom security profile.
Enhance your value proposition with hassle-free data sharing across all required entities. This includes:
- Bidirectional data exchange using standard healthcare and proprietary formats
- Integration with third-party applications, client and statewide systems, HIEs, and EHRs
- Apply target lists to support Stars, HEDIS, and care gap closure initiatives
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Person-Centered Care Management
Effective person-centered care management starts with understanding the whole person. Incedo gives care teams a comprehensive view of each member’s physical, behavioral, and social needs, helping them develop individualized care plans and coordinate services across programs, providers, and settings.
Configurable workflows, assessments, alerts, and care planning tools help teams identify needs, prioritize interventions, and stay connected throughout the member journey. By bringing member information and care activities together, Incedo supports more coordinated, person-centered care while helping organizations improve efficiency and outcomes.
INCEDO™ MEDICAL MANAGEMENT SOLUTIONS DESIGNED FOR YOU
CUSTOMER STORY
Doctors HealthCare Plans: From Rapid Implementation to 4.5 Stars
InfoMC customer Doctors HealthCare Plans recently achieved an overall CMS 4.5 Star Rating, with Incedo supporting its operations. The partnership began with the implementation of Incedo in just 45 days, providing DHCP with a scalable platform to support its growing Medicare Advantage operations.
Read the customer story to learn how InfoMC helped Doctors HealthCare Plans rapidly implement Incedo and establish the technology foundation to support its growth.
