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

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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Resource Library

MEDecision Insight Series Vol. 1: The Patient-Centered Medical Home: The Cornerstone of Healthcare Transformation

Learn how the combination of powerful analytics, workflow tools, comprehensive patient data and health information exchange capabilities is key to an effective medical home.

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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.