Medical Management Enhancement Program

-  Phase I
-  Phase II
-  Phase III

Data Quality and Integrity Review
Care Management Evaluation Program
PCP and Specialty Profiling
Facility Performance Evaluation
Pharmacy Analysis

RPNavigator Services


Data Analysis Tool: RPNavigator Health Plans


Client Testimonials

Consulting Solutions and Services
Health Plans

Employer Care Management and Benefits Evaluation Program

Phase III: Benefit and Care Management Initiative Programs Implementation

CAI provides an experienced, on-site management team to facilitate the implementation of the above strategy. The team is comprised of a CAI Senior Project Leader, a dedicated Project Manager and a Senior Medical Director, augmented by a wide ranges of health care business and care management expert staff whose experience and capabilities correspond to the issues and concerns faced by the client.

CAI implementation activities typically include the following:

Programs Design and Programs Focusing
Based on the results of the comprehensive assessment, CAI works with the employer's management team to implement benefit and care management strategies that align with the overall corporate health care benefit plan and delivery initiative goals and objectives and re-focuses program resources on those areas of greatest opportunity. The program fundamentals such as the use of data to set the focus, the necessary support, the potential re-allocation of staff, and the development of the program measurement tools will all be defined and developed.

Health Plan, MCO and Vendor Outreach
CAI can assist all of the above entities in developing approaches, processes and infrastructure that respond to the recommendations made during the Strategy Development Phase

 



CareAdvantage, Inc.     485C Rt. 1 South,    Iselin, NJ 08830     732.362.5000    (Fax) 732.362.5005