Incedo Enterprise Care Management Platform
InfoMC has more than 25 years of experience driving innovation in the use of behavioral and social determinants and community resources to improve how to manage an individual’s health.
Our next-generation care management platform empowers your team to efficiently orchestrate care—particularly for vulnerable populations—to improve health equity and accelerate time-to-value. We help you automate and personalize patient journeys and engage with your members to improve outcomes and the overall member experience and to manage the total cost of care.
Available as a fully integrated platform or standalone care, utilization, behavioral health, and employee assistance/work-life program management solutions, our Incedo™ enterprise care management platform optimizes care delivery, reduces unnecessary healthcare costs, and improves member health by delivering superior:
Incedo Enterprise Care Management Solution Delivers Value
Incedo enterprise care management technologies seamlessly integrate care management and care coordination with utilization management and behavioral health to improve operational efficiencies and health outcomes.
Our platform will help your plan achieve the clinical, quality, and financial objectives required for value-based care 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 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 medical case 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 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.
InfoMC was the first to pioneer the holistic integration of behavioral, social, and physical care management, with utilization management software and care coordination to effectively address member ‘whole health’ and cost outcomes. The Incedo platform delivers this holistic integration by offering:
- Integrated library of measurable medical, behavioral and social assessments
- End-to-end workflows for clinical and financial behavioral health management
- Care coordination across mental health and substance use condition
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
By integrating care management and utilization management, your plan will reduce costs while driving better member health outcomes. 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
- Easily application of target lists for Stars, HEDIS, and care gap closure
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Person-Centered Care Management
Our customers are required and incentivized to enhance quality of care, manage costs, and improve the health of the populations they serve.
Our Incedo platform help them collaborate across interdisciplinary teams to proactively and efficiently orchestrate and administer care while mitigating risk.
Designed for configurability and scalability, Incedo enables you to personalize care delivery to meet your business requirements and adapt for changing needs.
INCEDO™ MEDICAL MANAGEMENT SOLUTIONS DESIGNED FOR YOU
CUSTOMER STORY
Learn how Doctors HealthCare Plans partnered with InfoMC just 45 days prior to their target go-live date, launched on time, and became the fastest growing MA plan two years in a row. Leveraging Incedo’s fully integrated medical management platform, Doctors continues to expand its footprint in highly a competitive market, having earned market distinction for offering innovative programs to their members.
InfoMC is proud to be a part of the Doctors Healthcare Plans success story.
