Our unique, custom-built tools will give you the edge.
Create more personalized patient engagement scenarios while improving outcomes.
ECOsystem payer eligibility in today’s healthcare world requires effective management to drive quality care at a lower cost.
Utilizing the Modiv ECOsystem allows healthcare providers prospective identification and earlier engagement of patients/members to identify preventive services and supports higher quality outcomes Modiv’s ECOsystem enables health care providers access to a more comprehensive view of a member/patient with the ability to drill down by payer, Annual Wellness Visits, Prevention, disease,risk, and age to identify clinical drivers of cost and quality. Healthcare providers can also utilize our AI Rules Engine to anticipate and develop a more proactive approach to their patients’ care.
The solutions enable care and quality teams to: Segment populations by risk, disease, and cost Stratify by clinical morbidity, projected costs, or disease Identify and respond to clinical drivers of risk due to comorbidities, readmissions, pharmacy gaps for chronic conditions, and care coordination Leverage predictive model tools to assess likelihood of admission, use of resources, future medical and pharmacy costs, and other issues
Understanding patient eligibility plays a significant role in helping you identify eligible services.
Our solutions bring both payer-multi-provider and provider-multi-payer views together in a single source that spans the continuum of care.
Utilizing the Modiv ECOsystem allows healthcare providers prospective identification and earlier engagement of patients/members to identify preventive services.