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Managed Behavioral Healthcare for Health Plans

Health plans today are faced with the challenge of managing and reducing costs while improving quality of care and health outcomes of their patients. To address this challenge, health plans are shifting more and more towards a model of coordinated care, aligning provider reimbursement with quality care, while also providing affordable coverage, better access to care and more choices for their patients.

The InfoMC Managed Care technology solution allows health plans to manage risk, reduce hospital readmissions, take on newer reimbursement models such as pay-for-performance, and adopt more effective approaches for care coordination for high cost-patients.  InfoMCs technology solution applies industry best practices to improve all aspects of managed care, including member engagement, network management, care coordination, and claims management.  As a result, health plans can contain costs while improving access to quality, cost effective care.   

Key Features & Benefits:
Managed Behavioral Healthcare for Health Plans

  • Improves efficiency with a complete technology solution to handle enrollment, manage eligibility, provide authorizations and referrals to contracted network providers, coordinate care across chronic conditions, adjudicate claims and reimburse providers based on performance 
  • Reduces medical and administrative costs
  • Integrates industry best practice mental health, substance use and physical health screening tools
  • Improves outcomes with comprehensive support for chronic care management and care coordination
  • Improves interaction and exchange of healthcare information with automated transaction processing such as real-time authorizations and adjudication
  • Smart, scalable solution will adapt as reporting requirements and other administrative demands evolve
  • Flexible licensed and subscription-based delivery options allow you to match your business and budgetary requirements for both hosted and non-hosted solutions