Alineo is a flexible, long-term solution that can
accommodate changing organizational needs and evolving technical
requirements.
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Alineo® is MEDecision's health management platform.
It provides health plans with an integrated solution for delivering
outcome-driven case, disease, utilization and behavioral health
management. In addition to comprehensive workflow, Alineo provides
the clinically validated intelligence health plans needed to create
optimal care plans.
Alineo is built around MEDecision's patient aware health
management philosophy. This philosophy emphasizes providing
stakeholders with mutual access to actionable, real-time
information from throughout the healthcare ecosystem, in turn
creating a deeper, richer understanding of the patient and patient
populations. This enables high-value, high-quality interactions
that can improve care and reduce medical costs.
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MEDecision's technology has long been known for powering care
management and workflow processes across the payer enterprise -
helping payers reduce administrative burdens and costs while
improving clinical consistency. However, Alineo is more than a
best-in-class workflow system. For example:
- With Alineo, health plans receive a complete view of a member's
clinical history. It delivers automatic and intelligent
administration and evaluation of member and population-wide
healthcare programs by integrating case, disease, utilization and
behavioral health management.
- Alineo provides member identification and stratification tools
to identify members that can immediately benefit from case and
disease management programs.
- Alineo facilitates the formulation of optimal care plans by
providing clinically validated intelligence that delivers
actionable knowledge based on evidence-based medicine and standards
of care. It also offers tools to help health plans develop
customized programs.
- Alineo's extensible design accommodates an organization's
changing technical needs. As the healthcare market continues to
evolve, Alineo is a long-term solution that can grow and change as
a health plan's needs grow and change.
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Alineo's key components include:
- Automated
Approvals
Client-defined business rules that automatically evaluate care
requests to determine whether the request should be approved or
pended for further review. Alineo works with InFrame™
iEXCHANGE® to reduce administrative costs by automating
the referral and authorization process between payers and
providers.
- Clinical
Programs
A series of URAC-accredited case and disease management clinical
care pathways and health content that enables the efficient
implementation of care management programs to reduce costs and
improve care quality. Deploying MEDecision's clinical programs can
assist health plans in their own URAC accreditation efforts.
- Correspondence
Integration with a robust third-party correspondence product that
allows organizations to efficiently define and maintain letter
templates in Microsoft® Word.
- Reporting
A streamlined, customizable reporting tool that enables health
plans to demonstrate care management value and effectiveness.
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