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Automated workflows and member-provider outreach.

Managing utilization, disease and case management processes separately is inefficient and expensive. Clinical CareAdvance, part of the CareAdvance Enterprise suite, consolidates these processes onto a single automated platform. This, in turn, streamlines member interactions with care managers, providers and family members and enhances productivity through streamlined workflows and processes. 

With Clinical CareAdvance, you can:

  • Automate prospective, concurrent and retrospective utilization management processes, ultimately, freeing up care management resources.
  • Improve quality of care by delivering targeted wellness services and personal health information to your members.
  • Extend the reach of high-touch case and disease management programs.
  • Manage members with chronic diseases more effectively by coordinating resources. 
  • Increase efficiency through configurable care planning, consent tracking, task and team management, progress tracking and ongoing monitoring.
  • Help ensure clinical consistency by using business rules to process all authorizations.
  • Provide automated access to evidence-based guidelines at the point of care.

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