Executives can design risk-based contracts with increased confidence that health plan staff, clinical partners, and third-party vendors can deliver on requirements necessary to meet financial objectives, while enhancing capability to adhere to regulatory requirements. Managers have the tools they need to define the tactics and measure performance that support those objectives. TEAM of Care is uniquely designed to track what work has been done and whether it is making an impact.
Les “ings” per hour. Scheduling, coding, billing, documenting, finding missing charts, looking for results, confirming completed activities…. These are the “ings” that take more time, more energy, and more frustration than they should. Administrative TEAM members are more efficient and more effective with automated workflows that are easy to access and easy to complete.
Take the burden off the IT staff to create magical solutions. TEAM of Care uses industry standard data exchange APIs that improve connectivity between the health plan, vendors, and clinicians for coding, billing, and clinical documentation exchange.
TEAM of Care establishes hooks that automatically trigger tasks and chart retrieval for an appropriate subset on codes or encounters based on data from provider EHRs. The system automatically sends the encounter record for a specific date of service to the coding vendor. This is a proactive step to confirm the chart supports the code before the plan submits the claim for payment and reduces the “chase list” between the parties.
TEAM of Care works with health plans and other risk-bearing organizations to offer an entirely new level of payer-provider integration. Using TEAM of Care’s unique approach, health plans enable their clinical partners to improve medical loss ratios (MLR) and star ratings with automated and streamlined clinical interventions that occur before costs and gaps occur.