Transforming healthcare — one empowered, informed individual at a time.
Health plans need to bend the cost curve, manage high-risk, high-cost individuals and move closer to a consumer-centric and digital ecosystem. Members and patients need support and personalized engagement and better access. Their care teams need insights that can identify risk factors early, and the tools to intervene before these risks impact health outcomes.
All this requires an empowered consumer, connected to his or her care community.
SOLUTIONS TO SUPPORT YOUR CHALLENGES
We support the highly integrative needs of health plans including Managed Care, Medicare Advantage and state Medicaid agencies.
As an integrated health solutions company, Medecision targets these business problems and enables you with powerful technologies and services. Bringing together transformative results, connected tech, and a community of healthcare Liberators – only Medecision can meet these demanding requirements and help you deliver on your business goals and mission.
Yes, our roots are in supporting care management, but today we support and enable consumer-centric models of engagement for multiple purposes – in fact, all our services and technologies are designed to deliver four critical values:
1. Consumer & Population Insights
Successfully managing new lines of business or taking on population risk starts with detailed insights about members and patients, shared throughout your care ecosystem. Deliver the “next best step” for their best outcome.
2. Risk intervention
Identifying true risk in populations, especially those being newly served, helps your entire operation be more productive and efficient, whether it’s prioritizing members and patients in need of intervention, closing gaps in care or delivering proactive engagement to prevent complications, avoid readmissions or ensure compliance.
3. Operational efficiency
Making all the parts of your organization work better together – in a call center, on a care or case management team, in the utilization management office – in order to be more productive and empowered to do the right things for members and patients.
4. Quality improvement
Prioritizing appropriate healthcare utilization through proven programs that increase quality scores, optimize network/care delivery performance and improve member satisfaction.
Our solutions are used today by more than 85 leading health plans and care delivery organizations to support more than 50 million people.
We’ve also been recognized by some of the most important accrediting bodies in the industry. In 2018, we received NCQA Population Health Management Prevalidation for both Aerial Complex Care Management™ and Aerial Insights™.
Connected tech that powers the next generation of healthcare consumer activation
Medecision has over three decades of experience identifying and managing risk and enabling the safe, effective sharing of patient and member information throughout the community care team. We’ve taken that expertise and translated it into the Aerial™ Experience, so that our customers meet their business goals quickly, tune their operations and stay up-to-date on compliance and accreditation.
Strategic consulting services to elevate your business
Progressive healthcare organizations transforming to value-based models, consumer engagement and activation and optimal network operation often require assistance moving the needle and investing in the right change processes. Aveus, a time-trusted partner to clients including HealthPartners, Blue Cross Blue Shield Massachusetts, Blue Cross Blue Shield Louisiana, Prime Therapeutics, and Heraeus Medical Components; works to help position organizations within and outside of healthcare for success. Aveus’ suite of strategic consulting, operational and advisory services turn big-picture problems into opportunities.
Take your organization to the next level.
The Power Behind the Solution
Enterprise strength services-oriented architecture
Our HITRUST CSF®-certified, SaaS solution helps the nation’s leading plans and risk-bearing organization optimize the delivery of personalized, predictive and prescriptive decision support for clinicians, physicians, consumers and their caregivers. All made available in ways that cannot be accomplished in legacy EMR, registration, financial or claims systems.
Aerial is built on an advanced, modular architecture, using ‘packages’ of code, making it possible to integrate the components needed to meet your organization’s unique business requirements today – and change with the organization as business needs demand.