CLINICAL SERVICES
Improve Clinical Operations, Compliance, and Quality
WE'RE IMPRESIV HEALTH
We are a clinical team of thought leaders and proven industry experts delivering innovative and transformative clinical services. Our team includes physician advisors, nurses, and operations experts who have previously worked in managed care, technology, or a tier-one consultancy.
Together, we provide insight and guidance into healthcare best practices and productivity improvements to enhance financial, operational, and quality outcomes.
Our clinical advisors identify and implement value-driven solutions that maximize your business outcomes
OUR THOUGHTS ON TACKLING SDOH
We Build Strategic Partnerships
Healthcare is in transformational change, presenting an ongoing challenge for payers, consumers, and providers. Clinical services require continual review and modification to ensure consumers receive cost-effective, appropriate, and quality-oriented care, supporting improved patient satisfaction and adherence to regulatory requirements.
Impresiv Health’s Clinical Services provides insight and guidance into best practices and productivity improvements to enhance operational and quality results.
Looking to implement or redesign a care management, utilization management, population health, or grievance and appeal program? Impresiv Health’s Clinical Services team has designed a clinical model that is scalable to meet the needs of commercial, Medicare, or Medicaid product lines and sustainable to meet the ongoing regulatory requirements of CMS, NCQA, and URAQ.
Our Clinical Services team evaluates and improves care management operations by designing and implementing custom models to address current needs and long-term strategies. Our Clinical Advisory Services provide insight into capabilities that ensure a cost-effective, positive impact on the health outcomes of the individuals and populations under management.
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Program Description |
*Care Management Program
Impresiv Health’s Care Management consultants have demonstrated that they are some of the most skilled in the industry through our client-based results. We play a significant role as facilitators and enablers between your software vendor and your organization during the implementation of a new care management solution.
We bring best practices, proven methodologies, and decades of care management system and business knowledge to our clients.
| VENDOR EXPERIENCE
Altruista Health Guiding Care® Casenet TruCare® HealthRules CareManager® HMS Essette® Medecision® MHK CareProminence® TCS ACUITYnxt® TriZetto Clinical CareAdvance® Virtual Health’s Helios® ZeOmega Jiva® |
SYSTEM EXPERTISE
Project Planning Requirements Gathering Configuration Letter & Correspondence Design Business Rule Design Content Development (HRA & Care Plans) Workflow Design
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Impresiv Health provides cost-effective consulting services to maximize operational efficiencies and productivity across Case & Disease Management, Utilization Management, Population Health, Grievances and Appeals, and Quality Improvement.
We help deliver member-centric care models by innovating:
| CASE & DISEASE MANAGEMENT Data Analysis for Risk Assessment Transparent Reporting of Outcomes Engagement & Communication Strategies |
UTILIZATION MANAGEMENT Business Rules & Portal Design Performance & Productivity Enhancement Automated Authorization Workflow Processing |
| APPEALS & GRIEVANCES Auditing & Reporting Functionality Meeting Regulatory Demands Performance & Productivity Enhancement |
QUALITY STAR & HEDIS Performance Initiatives Revenue Optimization Workflow & Reporting Process & Outcomes Improvement |
Our clients gain actionable insights through Impresiv Health’s data management and analytics, expediting time to value managing individuals and populations at the greatest risk of an adverse clinical or financial event.
| WE OFFER GUIDANCE ON:
Proactive member engagement strategies |
| WE SPECIALIZE IN: Quality Improvement Audit Readiness Policy and Procedure Development Accreditation Coaching Certification Regulatory Management CMS & NCQA Guidance |
It’s almost impossible to keep up with the constant wave of new technological and clinical advancements touted every day in health care. Impresiv Health experts are here to help.
| WE SPECIALIZE IN: Telehealth and Digital Engagement Machine Learning/AI Wearable Technology Virtual Healthcare Technology |