Care Management

INTEGRATED SOLUTIONS FOR IMPROVED OUTCOMES

Evolent Care Management drives clinical excellence and physician engagement. Compliant with NCQA requirements for disease management and care management accreditation, our care management model can integrate with host EMRs and is data-driven with best-in-class workflows supported by evidence-based medicine.

LEAD A BEST-IN-CLASS CARE MANAGEMENT PROGRAM

Make every interaction productive

With EMR integration and coordinated care plan communication within point-of-care workflow

Flex to support changes and new opportunities

With programs developed for multiple payer, market, clinical and operational programmatic priorities that never sacrifice clinical excellence

Deliver care that matches the level of patient need

By converting broad data sources to create real-time, specific, evidence-based care alerts and actions for each patient and evolve triggers as patients’ needs change over time

Fortify your care management structure

Through a flexible training, management, coaching and operational performance evaluation offering that elevates the impact of your care management and case management teams

MAXIMIZE CLINICAL PROGRAM EFFECTIVENESS

CLINICAL OPERATIONS PERFORMANCE MANAGEMENT

Leverage best practices developed across Evolent’s national footprint of leading health system partners and multidisciplinary experts to elevate performance of your clinical program suite and ensure your valuable clinical resources are focused where they can truly make an impact.

PRACTICE INTEGRATION

Physician operational models, care manager workflow training and implementation of a direct EMR integration solution allow for greater access to patient information at the point-of-care, and remove barriers to lasting, sustainable practice-led change.

TAILORED CLINICAL PROGRAM SUPPORT

Successfully tailor, configure and implement select clinical programs in Identifi, Evolent’s technology platform, unique in its ability to integrate and use disparate data sets to power evidence-based clinical and administrative workflow.

COMPLIANCE READINESS

Our team of experts have years of experience working with CMS regulators and NCQA reviewers, and can help health plan compliance departments make sense of what can be an overwhelming process. Leverage our expertise to successfully navigate established audit procedures and monitor processes and policies so all your payer delegation, CMS and NCQA requirements are met.

THOUGHTFUL CARE PLAN DEVELOPMENT, INTEGRATED WITH THE EMR

Unlike other care management solutions, our evidence-based care plans and EMR integration provide accurate, digestible information to providers at the point-of-care. By taking into account all aspects of a patient’s health profile, providers get unique insights into the many influences on a patient’s health outside of the office and can target interventions accordingly.

AMPLIFY THE EFFECTIVENESS OF POINT-OF-CARE INTERACTIONS

With EMR integration, PCPs and care team nurses no longer have a disjointed care plan. Instead, they have a synchronized, single source for communication and care delivery. Identifi allows care note, care plan and message sharing from the point-of-care, so care team nurses can maximize physician engagement and coordination with convenience. 

CARE PLANS THAT MAXIMIZE PATIENT HEALTH IMPROVEMENT

Our flexible and individualized care plan development takes into account all available information to paint a complete picture of patient health. By combining Identifi’s broad data aggregation, care coordination assessments and behavioral interviewing techniques, our care plans go beyond medical needs, extending to social support, behavioral health and education. Jointly developed with the patient, care plans aim to teach patients the self-management behaviors they need to feel empowered to take steps that enhance their quality of life and effectively use health system resources.

ELEVATE PERFORMANCE WITH BEST PRACTICES

We align your team to a best-in-class performance model through in-depth and extensive support from our multidisciplinary team. Care Management is tailored to meet your needs and advances your team’s effectiveness in engaging patients to maximize positive changes in your population’s health. Expert support includes the training, tools and guidance necessary for competencies such as interdisciplinary patient round coaching, audit procedure and monitoring processes, staff performance coaching and training, and quarterly formal core operational review. 

"Evolent Health has been able to help us increase our efficiencies, increase the quality of care that we give to patients and increase the service that we give to patients."
Premier Health Patient Story
In Partnership with Evolent Health

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