CareAdvantage, Inc. (CAI)
is
in the business of providing management and
consulting services. Our primary focus is to enable integrated
health care delivery systems, health insurance carriers, other care
management organizations, health care consultants, self-insured
employers and unions to improve the quality of medical services
provided to their subscribers, and reduce costs through the use of
innovative, high speed tools. Our management and consulting services
include care management program enhancement, executive and clinical
management, and training programs.
The
Company has a proven track record for reducing unnecessary
utilization, while optimizing program performance and quality of
care, as measured by reduced cost, reduced risk, improved member and provider relations, and member retention
by insurance carriers/employers. RightPath™ Navigator (RPNavigator) is at the center of
CareAdvantage's Right Path Care Management (TM) product suite. It is a next generation software solution that categorizes and quantifies a population's disease burden and
provides a case mix/severity adjusted picture of the health status of a clients'
member populations. RPNavigator's
underlying infrastructure incorporates a classification methodology
from 3M Healthcare Information Systems, along with various
analytical techniques, to stratify the overall population and/or an individual member's associated risks. It enables a rapid assessment of historical health care quality and cost, as well as projection of future
risk, from a resource consumption, disease progression and mortality
perspective.
CareAdvantage
clients include health plans, major health insurance carriers,
employers, hospital systems, provider and other purchaser groups. For the past nine years, the Company has worked with many
leading health plans to develop effective, affordable and timely
data-driven strategies that improve case, disease and utilization
management, as well as operations and network management. These strategies have helped CareAdvantage clients to more
effectively:
-
Identify
and manage their disease burdens and associated risk.
-
Improve
the quality of member care through the evaluation of health care
providers and facilities.
-
Facilitate
provider cooperation and collaboration.
-
Forecast
resource consumption based on the disease burden.
-
Optimize
allocation of resources.
In
order to deliver these solutions, CareAdvantage relies upon experienced health plan executives and medical directors, as
well as a wide range of subject-matter experts, in the areas of care
management operations, clinical-data, educational resource and
information technology (IT). It
is this vast array of experience, coupled with a deep understanding
of medical and health care insurance-related best practices, that
enables CareAdvantage to provide clients with objective, quantifiable information, strategies
and results. |