If not effectively managed, member utilization and ineffective care coordination can significantly increase the expenses of a health plan. Consequently, a health plan must be proactive in identifying members with chronic illnesses and diseases, as well as promote employee wellness programs. Structured policies and procedures for monitoring the members’ care are crucial. HSP's Care Management program facilitates effective and efficient Utilization Management, Care Management and Disease Management programs.
HSP Care Management is fully integrated with our MediTrac™ claims system. It improves the proper use of services by utilizing user-defined template-based authorizations and referrals. HSP Care Management assures the timely review of services through pre-assigned workflows and Case Management integration. Utilization review, assessment, outcomes and clinical benchmarking are easily facilitated.