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InterQual® Complex Care Management
Manage the Care of High-Risk Members and Patients
Overview
InterQual® Coordinated Care is designed to help health plans offer complex care management of high-risk members and patients efficiently with a single, blended care plan.
Assess and manage complex cases efficiently with a single, blended care plan, created from a patented assessment that merges condition components.
Manage care holistically with assessment questions covering medical, behavioral, and social needs, in addition to comorbidities and cross-condition issues.
Create a tailored care management program to better control the medical costs of high-risk members and patients, help prevent readmissions and improve clinical outcomes.
InterQual® Complex Care Management is designed to help health plans manage high-risk conditions and complex cases. Explicitly developed to address cases in which members/patients have more than one condition, InterQual Complex Care Management relies on the same rigorous, evidence-based process that has made InterQual the gold standard of decision support. The solution’s comprehensive member/patient assessment takes a holistic approach to co-assess applicable medical, behavioral, and social determinants of health. As care managers are better informed about the patient’s full circumstances, they are able to more easily improve outcomes and prevent readmissions.
Categories
- Business Needs
- Agent Productivity
- FeaturesNo LimitsThis product's apps, tabs, and objects don't count against your Salesforce org limits. Learn More in HelpLightning ReadyOptimized for Salesforce orgs that use Lightning Ready.Managed PackageThis product is installed in your Salesforce org as a managed package and receives automatic upgrades.
- No LimitsLightning ReadyManaged Package