TruCare
Population Health Management Platform
Delivering on the promise of population health management requires synergy on all levels: among individuals and teams within organizations; between payers and providers; and within clinical, IT, financial and other data sources. Casenet aligns data and resources, so you can manage care with confidence. Our configurable, scalable population health management platform unites disparate data sources, enabling a more comprehensive view of your members. As a result, you can improve delivery of care at appropriate costs.
Casenet’s proven implementation methodology in addition to our dedication to client success drives our industry-leading customer satisfaction rating and 2017 Best in KLAS® award for Care Management Solutions, both scored by our very referenceable client base.
Casenet’s depth of experience—coupled with our expertise, agility and clear vision—allows you to make a very real impact on the well-being of your members, which contributes to the larger goal of advancing the quality of healthcare for everyone.
TruCare
Differentiators
TruCare
Capabilities
TruCare contains several innovative and versatile modules that include but are not limited to: case management, disease management, utilization management/appeals, wellness management and quality reporting and analytics. TruCare’s configuration capabilities enable rapid alignment of the system to current care management needs and efficient evolution of the TruCare solution configuration over time.
TruCare was designed on six core principles:
Differential Care Management enables the segmentation of populations by many different factors such as line of business, state, region, population and program resulting in more targeted interventions, fewer errors and greater efficiency.
Differential Care Management
TruCare was designed to empower clients with the non-technical administrative and configuration tools required to enable rapid modification of the platform to align with market changes, contractual obligations and regulatory and accreditation requirements.
Flexibility
TruCare is an extensible, integrated population health and care management platform that enables interoperability with clinical, financial, administrative and other required systems.
Interoperability
TruCare provides a 360-degree view of all member information regardless of source including member approaches, preferences, strengths and weaknesses along with the clinical and non-medical services needed in order to meet member needs, quality outcomes and mandated requirements.
Member-centricity
The TruCare platform was built to be extensible, open, highly scalable and able to meet multiple lines of business and program needs including thousands of concurrent users and millions of members on a single instance.
Scalability and Performance
TruCare automates workflows, creates member-centric data views and simplifies data aggregation from systems, making your care teams more efficient and effective at serving members at lower costs and with better outcomes.
Workflow Optimization
The TruCare platform includes a broad range of capabilities and provides our clients the functionality and features necessary to deliver effective and efficient day-to-day population health and care management. These modules include:
TruCare Analytix performs predictive risk analysis and identifies gaps in care and HEDIS outcomes measures to automate and drive care management interventions, actions and programs.
Analytics
TruCare supports comprehensive appeal and grievance management by ensuring proper data collection at the authorization level, notifications and communications for all stages of appeals and grievances.
Appeals and Grievances
TruCare ProAuth enables interactive provider authorization submission and real-time tracking including approvals which increases provider engagement and efficiency.
Provider Authorizations
TruCare Case and Disease Management support multi-disciplinary approaches to the management of members on an integrated platform enabling efficient and effective care team coordination.
Care Management/
Disease Management
TruCare Care Opportunities provides a central place for care teams to identify effective intervention opportunities and act upon and monitor member risk scores and gaps in care.
Care Opportunities
TruCare Contact enables personalized and automated, multi-channel enterprise correspondence. Correspondence is delivered aligning with member preferences, language and delivery channels including email, text, web, print and fax in support of regulatory requirements.
Correspondence
Differential Care Management enables the segmentation of populations by many different factors such as line of business, state, region, population and program resulting in more targeted interventions, fewer errors and greater efficiency.
Differential Care
Management
TruCare GuidedCare is fully integrated evidence-based assessment and care plan content that automates member evaluation and care plan creation by considering a variety of hereditary, socio-economic, physical, behavioral and environmental risk factors.
Evidence-Based Content
TruCare Home and Community Services cost effectively manages members who require Home and Community-based Services for long‐term care and waiver programs by including clinical, behavioral and ancillary services together in a single member-centered and individual service plan.
Home and Community-Based
Services
TruCare Linx offers flexible and cost-effective integration capabilities to internal or external systems. The TruCare Linx integration engine supports integration to clinical systems including HIEs and EMRs using standards such as HL7 ADT and CCD.
Interoperability
TruCare Mobile is an iPad tablet application. Care managers can efficiently assess their members when in the field and securely access clinical, care management and member information anywhere, anytime.
Mobile Solutions
TruCare Actions offers a configurable rules-based capability to drive workflow automation, care team communications and member engagement by automating tasks, referral management, messaging and correspondence.
Population Health Management
TruCare Connect provider and member portal solution allows members, providers and authorized representatives or caregivers to access and update information in the member care management record.
Portal Solutions
TruCare Reporting provides access to all UM, CM/DM, wellness and other clinical program information via robust standard and ad hoc reporting and dashboard capabilities.
Reporting
TruCare Utilization Management provides comprehensive, integrated UM capabilities that support synchronization with administrative systems, provider portals and the operational processes needed to maintain regulatory compliance and automated workflows.
Utilization Management
Casenet, LLC
36 Crosby Drive
Bedford, MA 01730
Phone: 781.357.2700
Fax: 781.357.2701
© 2017 Casenet, LLC. All rights reserved.