Alineo is a flexible, long-term solution that can accommodate changing organizational needs and evolving technical requirements.

Alineo is MEDecision's collaborative healthcare management platform. It gives health plans a simple and smart solution for delivering outcome-driven case management, disease management and utilization management. Alineo provides a comprehensive view of past and present clinical data for patients and patient populations.
With Alineo, health plans can significantly increase the overall quality, affordability and efficiency of care. It helps maintain costs and improve outcomes by fostering greater clinical consistency, streamlining operations and bolstering workforce responsiveness.

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Alineo Features

  • Intuitive predictive modeling tools to identify patients that can immediately benefit from case and disease management programs.
  • Clinically validated intelligence that delivers actionable knowledge and pathways based on evidence-based medicine and standards of care to formulate optimal care plans.
  • Automated CM, DM and UM which allows payers to automatically and intelligently administer and evaluate member and population-wide healthcare programs.
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Alineo Components:

  • Automated Approvals
    Client-defined business rules that automatically evaluate care requests to determine whether the request should be approved or pended for further review
  • Care Management Analytics
    Identification and stratification of target patients and populations to set appropriate levels of intervention and improvements for a member's care
  • Clinical Intelligence
    A set of clinical rules, based on evidence-based medicine, reference materials, industry-standard best practices and physician expertise, for clinical consistency in care management processes
  • Clinical Programs
    A series of case and disease management clinical care pathways that enable the efficient implementation of care management programs that reduce costs and improve the quality of care
  • Clinical Summaries
    Clinically validated, payer-based electronic health records derived from claims and care management data
  • Correspondence
    Integration with a robust third-party correspondence product that allows organizations to efficiently define and maintain letter templates in Microsoft Word
  • Reporting
    A set of standard report templates and the ability to create ad hoc reports for care management data that operates within Alineo

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Resource Library

MEDecision - DC Chartered Case Study

A health plan's experience in choosing the right care management technology for today and tomorrow.

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Events

August 1, 2010 -September 1, 2010
eMatchExpo
October 5-8, 2010
Blue National Summit
October 5-7, 2010
URAC Quality Summit

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For more information or to request a demonstration on our products and services, please contact us or call us at 610-540-0202.