Casenet® LLC today announced that Security Health Plan of Wisconsin, Inc., has selected TruCare, Casenet’s population health management platform, to support their care management and population health initiatives. Security Health Plan is a Wisconsin-based managed care organization that provides health insurance options for Medicare, Medicaid and commercial populations.
Security Health Plan was looking for a partner to support its efforts to identify populations, stratify populations based on risk, and provide technology solutions that enable care managers to implement clinical programs that promote wellness, prevent disease, manage chronic conditions and coordinate care.
“Casenet understands the strategic importance of care management and how it impacts affordability and quality initiatives at Security Health Plan,” said Melissa deGoede, Director of Population Health/Interim Clinical Officer at Security Health Plan. “They have deep experience working with payers, targeted expertise in care management workflows, and a solid reputation for client service. Casenet was the right choice for us.”
Security Health Plan is implementing four Casenet solutions: TruCare, the flagship care management and utilization management platform; TruCare ProAuth™, a digital authorization tool to support Security Health Plan’s provider engagement strategy; TruCare GuidedCare, assessments and care plans Informed by MCG for Disease Management which supports evidence-based clinical decision-making for chronic conditions; and TruCare Analytics™, powered by HBI Solutions, a predictive analytics and population health solution. Using machine-learned algorithms, TruCare Analytics constantly analyzes data to identify members at risk and rising risk for untoward events and conditions, and help identify gaps in care for outreach and management.
“We are pleased to be working with Security Health Plan to develop innovative population health management programs to improve the quality of care for their members,” said Peter Masanotti, CEO of Casenet. “The TruCare platform will create workflow efficiencies and help Security Health Plan target members who will benefit the most from care management programs.”
Casenet population health technology solutions are used by top health plans to manage more than 33 million health plan members in the U.S. Ranked Best in KLAS in 2017, 2018, and 2019, Casenet is well known for innovation, implementation, and client service. The TruCare platform offers care management, disease management and utilization review, and integrates with best-in-class partner solutions that cover evidence-based content, analytics, and portals.
About Security Health Plan
Security Health Plan of Wisconsin, Inc., part of the Marshfield Clinic Health System, is helping its 230,000 members in Wisconsin and beyond reach their best health. Accredited by the National Committee for Quality Assurance (NCQA), Security Health Plan offers health insurance coverage for employees of large and small businesses, individuals and families. It also provides full-service third-party administration for self-funded employee benefit plans through Security Administrative Services.
About Casenet, LLC
Casenet provides a comprehensive suite of enterprise care management software and services solutions for commercial, Medicaid, Medicare, TPA, provider/ACO and specialty provider organizations that have multiple lines of business and that require comprehensive configurations for each member population. Healthcare organizations rely on Casenet’s population health management solutions to improve care coordination and the quality and delivery of care through enhanced case, disease, utilization, and home and community-based services management. Casenet solutions enable organizations to adapt quickly to changing market and regulatory dynamics, and to identify and target populations having unique risk characteristics with specific care management programs— taking the first step toward better individual health and total population health management. For more information, visit http://www.casenetllc.com.
About MCG Health
MCG, part of the Hearst Health network, helps healthcare organizations implement informed care strategies that proactively and efficiently move people toward health. MCG’s transparent assessment of the latest research and scholarly articles, along with our own data analysis, gives patients, providers, and payers the vetted information they need to feel confident in every care decision, in every moment. For more information visit www.mcg.com or follow our Twitter handle at @MCG_Health.
About HBI Solutions
HBI Solutions was founded in 2011 by a physician, a data scientist, and a healthcare IT business executive who shared a vision of improving health and reducing costs. HBI partners with healthcare organizations worldwide to deliver actionable information that helps providers reduce patient health risks, improve care quality, and lower the cost of care. The HBI Spotlight solution is grounded in clinical care and data science, and the analytic approach and methods are prospectively tested, peer-reviewed, and published in leading scientific and medical journals. Visit HBI online at www.hbisolutions.com.