InfoMC’s Incedo platform provides a completely integrated, end-to-end, enterprise solution for effectively managing Medicare Advantage populations.

In addition to supporting the medical management features such as utilization management, organization determinations, beneficiary enrollment and reconciliation, benefits, claims, grievances and appeals, the Population Health Management platform also enables health plans to effectively manage the high-risk, complex populations with a prevalence of chronic conditions, behavioral and social determinant of health needs. Our member centric, “whole-person care” Interdisciplinary Care Team approach offers technology solutions that enhance interaction between health plans, member, and providers to improve care quality, cost, and value.

Incedo for Medicare Advantage Features:
  • Identification and stratification of at-risk members
  • Auto-generated, member-centric care plans based on HRA/assessment and DSNP MOC
  • 360 view of member’s clinical information
  • Track and report on CMS Universe required fields
  • Rules-driven decision support and workflows
  • Auto-generated tasks, alerts, reminders and notifications for greater efficiency
  • Integration with clinical criteria to support an efficient clinical review process
  • Care Team and provider portals for enhanced communication and collaboration
  • Support for improved management of care transitions
  • Centralized access to cases, alerts, and work items for efficient management of caseload
  • Workflows supporting compliance with CMS, NCQA, and State required elements and processes
  • Advanced analytics on critical quality and compliance measures for Five-Star Quality Rating to optimize reimbursements
  • Flexible configurations to quickly address changes in reporting and regulatory requirements