Payor

Helping payors enable patient-centered care through digital solutions.

woman presenting and pointing to a screen, MedCompass platform

Our MedCompass platform effectively addresses payors' top concerns: quality and cost

Coordinating care should be easier. Increasing quality of care while being more efficient is nearly impossible without the right information and systems. When payors have a 360-degree view of each member, they can change how care is delivered.

Payors can go beyond the data to improve care for individuals and populations.

Identification and stratification of high-risk members
Implementation of care strategies to reduce readmissions
Closure of care gaps and improvement in quality ratings
Population health analytics and operating cost reduction

Reduce cost of care with our integrative platform

MedCompass® is a CMS Certified Care Management platform that improves member outcomes, while reducing program costs. Leveraging sophisticated technology, MedCompass delivers data and workflows as well as integrates with your existing systems. It creates transparency between care teams through interoperability with EMR and population management solutions. Every module can stand alone, but together they form a powerful, unified system that maximizes your investment.

Seamless implementation
Modular platform that works with your existing systems
Easy to use for maximum efficiencies

Provider checking elderly patient's heart with stethoscope. provider, patient, connected care

Create truly connected care for medicaid agencies, service providers and members

MedCompass® is AssureCare’s CMS Certified Modular, COTS Solution, Software as a Service (SaaS) cloud-deployed Care Management platform fully aligned with the CMS Seven Standards and Conditions and MITA Framework.

Modular COTS solution
Configurable, automated, efficient workflow
Assessment and rules-driven care plans
Integrated clinical guidelines and medical history
Multi-tenancy support
Alignment with HIPAA, MITA, and MECT
Auto-adjudication of service requests
Flexible, configurable clinical assessments
Actionable insights into compliance, regulatory, and performance measures
Leverages modular development techniques for reuse of common components and framework standards

Hear From Our Clients

MedCompass – Connecting all aspects of health information

Explore MedCompass

Stay ahead of rapidly changing healthcare requirements.

Improve outcomes for members, the care team, and the payor.

Lower cost of ownership by using a single system.

Become proactive in identifying and following up with at-risk patients.

Create efficient workflows.

Save time and reduce errors with built-in, best-practice standards of care.

Utilization Management

Verify eligibility, optimize reviews, and streamline appeals and grievances.

Capabilities

Intake / Eligibility

Integrated National Guideline

Streamline Workflows

Approval Automation

Network Steerage and Gold Carding

Track Appeals and Grievances

Reporting and Performance

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Care Management

Our holistic approach to case management encompasses physical and behavioral health as well as social determinants of health.

Capabilities

Population Identification

Real-time Communication

Multidisciplinary Assessment

Evidence-Based Care Plans

Rule Driven Interventions

Social Determinants of Health

Reporting and Performance

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Medication Therapy Management

Perform and bill medical services, ensure medications are safe and effective, and identify ways to improve care.

Capabilities

Population Targeting

Prioritized Work

Efficient Workflows

Follow Up

Care Plan

CMS Compliant

Reporting

High Quality Patient Interactions

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Akumen™

A dynamic analytics platform leveraging AI-based predictive modeling and data-driven decision-making to manage risk.

Capabilities

Cloud-based Architecture

EMPI for Member and Provider

Stratify Populations for Vaccines and Wellness

Personalized Metrics for Outcomes

Predictive Insights

Boosts Efficiency

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Utilization Management

Verify eligibility, optimize reviews, and streamline appeals and grievances.

Benefits

Intake / Eligibility

Criteria

Ease of Documents

Authorization Determination

Reporting and Performance

Appeals and Grievances

Multiple Communication Channels

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Care Management

Enable preventative care, manage medical interventions, and efficiently report on program outcomes.

Benefits

Population Identification

Real-time Communication

Care Plans

Rule Driven Interventions

Service Planning

Social Determinants Of Health

Reporting And Performance

Issue Management

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Medication Therapy Management

Perform and bill medical services, ensure medications are safe and effective, and identify ways to improve care.

Benefits

Population Targeting

Integrated Care Plan

CMS Required Patient Material

Reporting

Follow Up

Billing

Medication Interaction Identification

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Quality Management

Improve outcomes, lower costs, and adhere to standards, such as HEDIS, Stars, and PQA.

Benefits

Patient Identification

Robust Calculation Engine

Campaign Management

Care Team Coordination

Validation and Reports

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Pharmacy Solutions

Integrating AssureCare’s Specialty Pharmacy Module with prescription dispensing systems will lead to enhanced patient services provided by pharmacies.

Benefits

Welcome Call

Benefits Investigation

Pre-Dispensing Consultation

Post-Dispensing Consultation

Credentialing & Enrolling

Medical Billing

Provider Communication

Specialty Pharmacy Workflows

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Electronic Health Record Software

Specialty-specific, customizable templates provide your practice with essential content while eliminating distractions for an efficient charting experience.

Benefits

Patient Engagement Suite

Telehealth

Fully Customizable

Quality Reporting

Interoperability

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Practice Management System

A complete practice management system that allows your front office and back office staff to work easily and efficiently, generating cleaner claims to receive higher reimbursement.

Benefits

Front Office

Back Office

Appointment Scheduling

Claims Management

Patient Demographics Capture and Updates

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Revenue Cycle Management

From claim submission to denial management, our healthcare RCM services experts know how important a healthy revenue cycle is to your practice.

Benefits

Optimized for Value

Shared Responsibility

Robust Analytics

Minimize Risk and Denials

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Helping payors enable patient-centered care through digital solutions.

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