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 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.
Request a Copy >

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