Transforming healthcare — one empowered, informed individual at a time.
Health plans and risk-bearing organizations 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, personalized engagement and better access. Their care teams need insights to help them 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
Our solutions are used today by nearly 100 leading health plans and care delivery organizations to support over 45 million people.
We support the highly integrative needs of risk-bearing providers and payers including Managed Care, Medicare Advantage and state Medicaid agencies.
As an integrated health management company supporting virtual health, 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, virtual models of engagement for multiple purposes. In fact, all our services and technologies are designed to deliver four critical values:
1. Consumer and 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, so you can 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.
We’ve been recognized by some of the most important accrediting bodies in the industry. We were among the first organizations in the nation to receive 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 brought that expertise to our integrated health management platform, Aerial. Capabilities of Aerial include omnichannel virtual health engagement, complex care management, quality performance monitoring, and analytics-enabled workflows that help our customers drive efficiencies, reduce costs, improve patient satisfaction and outcomes, and stay up-to-date on compliance and accreditation.
Strategic consulting services to elevate your business
Progressive healthcare organizations wanting to transform their operating and financial models and customer experiences often require assistance moving the needle and investing in the right change processes. Aveus is a time-trusted partner to clients across the healthcare ecosystem, including commercial and government plans, providers, integrated health systems, pharmaceutical and medical device companies, other health service providers, and even healthcare disrupters.
Let us help you 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 organizations 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. This makes 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.