Individuals want to understand benefits, keep track of treatment while learning how to stay healthy and control their health information. Healthcare providers are looking for ways to maximize the care their patients receive by quickly acting on individual healthcare information as well as increase efficiencies in their office administration. Member and provider portals provide the ability to extend a core care management platform to the member and provider community. Through a portal, members, caregivers and providers would have access to the appropriate level of health information needed to support their role in the delivery of coordinated care.
Member portals enable members and caregivers to access care plan and assessment information, care member communications and events, provider communications, provider directory directories and billing summaries. From the portal, members can also take action on any member-enrolled care program, view and participate in wellness programs, request benefit cards, view benefits summaries and respond to communications via secure messaging.
Provider portals enable providers to access care plan and assessment information, care member communications and events, secure member communications, specific plan policies or other guidelines, and referrals and scheduling. Providers can also typically process authorizations, respond to communications via secure messaging, select and enroll members into wellness programs, and utilize mobile devices for patient health management.
Integration of the core care management system with member and provider portals enables care managers to access member and provider communications and events, EHR information, provider directories, billing summaries, and referrals and scheduling. It also enables coordinated care teams to respond to communications via secure messaging, select and enroll members in wellness programs and provide health management services regardless of location via mobile solutions.