Clinical Care Coordination

Improve the quality of health care and reduce unnecessary costs with an integrated data-driven clinical care coordination program that identifies and closes care gaps

Looking to enable the right care at the right place and time? Effecting change is all about integrating care across the delivery system. Populytics carries clinical initiatives identified through the analysis of claims and clinical data to action with a plan customized to the needs of your organization.

Populytics can uncover current high utilizers, current high-risk members, and potential future high-risk members with deep insights into data such as:

  • Emergency room frequent utilizers
  • Impactable medical and surgical admissions
  • Ambulatory care sensitive conditions
  • Chronic individual identification and stratification
  • Minor avoidable inpatient admissions

Once the care gaps are uncovered, Populytics’ Care Coordination Team can provide comprehensive support that extends from prevention through care interventions to chronic condition management.

Populytics’ dedicated Population Health Advocates use the data to coordinate and streamline care through our Care Navigators and Care Continuum Specialists, which are comprised of physicians, nurses, health coaches, behavioral specialists, social workers, and pharmacists.

Care Management

Populytics Care Navigators utilize tools to benchmark the data against national and regional standards to identify optimal care pathways and take action via utilization review, admission management, case management, and disease management.

Care Continuum

Physician-clinician teams enhance patient care through their development and cultivation of National Committee for Quality Assurance (NCQA) certified Patient-Centered Medical Homes. In this model, more personalized, coordinated, effective, and efficient care is for each patient.

BeneFIT Corporate Wellness 

For employers interested in helping their employees and families live healthier lives, BeneFIT Corporate Wellness, a leading innovator in workplace wellness, is armed with the analytics insights needed to provide strategic and customized wellness programs. BeneFIT’s team of Certified Health Education Specialists and Health and Wellness Coaches are experts in designing, implementing and evaluating programs to promote, maintain, and improve healthy behaviors.

BeneFIT’s comprehensive range of services include: consultation, health coaching, online wellness portal and health risk assessment.

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NCQA Accreditation