Disease Management
Be your members ultimate health and wellness partner
TruCare Disease Management enables you to quickly design and deploy personalized disease management programs. Integrate new and existing data from multiple sources including consumer and provider touch-points. This module seamlessly operates with the TruCare Case Management, TruCare Home and Community Services, and TruCare Utilization Management modules, establishing
a single platform you can utilize across your entire membership.
Member Identification – Proactively identify members who will gain the greatest benefit from your disease management and wellness programs. Utilize structured and configurable health risk assessments, leveraged with third-party predictive models, as well as other internal and external referral sources such as TruCare Actions for opportunity identification for effective population stratification.
Collaborative Care – Enable multi-disciplinary care teams to come together for member-centered care delivery. Through automated workflow, users and super-users can share member data, load-balance and crosscover, enhancing their ability to detect and address any potential gaps in care.
Care Planning – Better assess a member’s health status by simultaneously viewing co-morbidities within a member centric care plan. Allow clinical users to quickly individualize care plans for member-specific conditions, while driving program consistency. Ensure ongoing adherence to care plans and correct deviations from treatment protocols.
Ongoing Monitoring – Identify deteriorating health conditions across specific member populations, as well as opportunities to re-engage members with our structured task management module and reporting capability. TruCare Disease Management integrates web forms, health risk assessments, progress notes and tasks to help closely monitor the member’s clinical progress.
Documentation & Letter Generation – Documentation is effortless with structured notes that meet individual organization requirements which are available throughout the disease management
workflow. Users can easily configure, customize, and generate accurate, comprehensive, and relevant template-driven letters; for both internal and external audiences.
Third Party Integration – Web services allow for the efficient exchange and integrate real-time data with eligibility criteria, claims and pharmacy data, predictive models, third-party HRAs / vendors and lab systems, resulting in a true member centric health record. Multiple document formats are supported in faxing through both inbound web services and outbound fax.