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Health Plans
Through coordinated and comprehensive care, we help to reduce costs, reduce patient health risks, and improve outcomes.
Care Teams
ConcertoCare uses in-home care teams to provide clinical services in support of plans' existing network providers, creating a value add for PCPs and health systems, while coordinating patient care. We work with providers, specialists, patients, and health plans to support a complete approach to health care.
Find out how ConcertoCare can help improve your plan offering.
Care Teams
ConcertoCare uses in-home care teams to provide clinical services in support of plans' existing network providers, creating a value add for PCPs and health systems, while coordinating patient care. We work with providers, specialists, patients, and health plans to support a complete approach to health care.
Find out how ConcertoCare can help improve your plan offering.
Complete Care
We close gaps through whole-person care – ensuring each encounter with a member is optimized to drive comprehensive patient management.
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Assessment and diagnosis
Comprehensive and clinically validated assessments ensure appropriate evaluation and management of patient diagnoses.
Assessment and diagnosis
Comprehensive and clinically validated assessments ensure appropriate evaluation and management of patient diagnoses.
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Treatment plans
Patient-centric care plans are developed and implemented in conjunction with providers and specialists.
Treatment plans
Patient-centric care plans are developed and implemented in conjunction with providers and specialists.
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Preventive care
Our care teams ensure members receive appropriate preventive care, resulting in HEDIS gaps closure.
Preventive care
Our care teams ensure members receive appropriate preventive care, resulting in HEDIS gaps closure.
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Risk optimization
Risk adjustment results from thorough patient evaluation and compliant documentation and coding of disease burden.
Risk optimization
Risk adjustment results from thorough patient evaluation and compliant documentation and coding of disease burden.
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Tailored disease pathways
Disease pathways build on custom patient treatment plans to ensure disease specific treatment goals are met.
Tailored disease pathways
Disease pathways build on custom patient treatment plans to ensure disease specific treatment goals are met.
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Quality measures
Gap closure measures include medication adherence, reconciliation, advanced care planning, fall risk, evaluation, and management, etc.
Our Value
ConcertoCare uses an end-to-end model designed to optimize value. We combine multiple data sources (medical claims, prescription drug claims, eligibility, third-party data) to develop a holistic view of each patient. Members enrolled in our program achieve lower costs, fewer inpatient hospitalizations, and fewer ER visits than those not enrolled.
Plan savings resulting from MLR improvement can be reinvested to significantly enhance member benefits or reduce member premiums.
Our Value
ConcertoCare uses an end-to-end model designed to optimize value. We combine multiple data sources (medical claims, prescription drug claims, eligibility, third-party data) to develop a holistic view of each patient. Members enrolled in our program achieve lower costs, fewer inpatient hospitalizations, and fewer ER visits than those not enrolled.
Plan savings resulting from MLR improvement can be reinvested to significantly enhance member benefits or reduce member premiums.
Mailing Address
P.O. Box 801280
Kansas City, MO 64180-1280
PH: 877-597-1440
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)
Mailing Address
P.O. Box 801280
Kansas City, MO 64180-1280
PH: 877-597-1440
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)
Mailing Address
P.O. Box 801280
Kansas City, MO 64180-1280
PH: 877-597-1440
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)