CLINICAL SERVICES

Improve Clinical Operations, Compliance, and Quality

Improve stakeholder satisfaction and meet all triple aim initiatives
HELLO!

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.

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Our clinical advisors identify and implement value-driven solutions that maximize your business outcomes

WHAT DOES SDOH MEAN TO YOU?

OUR THOUGHTS ON TACKLING SDOH

Traditional medical care only accounts for 20% of health outcomes, so how do you address the factors that compose the remaining 80% of health status risk factors?
HOW WE CONSULT

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.

INCLUDING:

Program Description
Policy & Procedures
Desktop Job Aides
Correspondence/ Letters
Operational & Regulatory Reports
Workflow
Automation Strategy
Staff Development
Stratification Techniques*
HRA*
Care Planning*

*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

 

 

 

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
Improved decision making based on credible information
Strategies on processes from reactive to proactive
Ecosystem of SDOH Data
High value and impactful reporting

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

Impresiv Health Company Profile

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TOGETHER!

Impresiv Health is here to discuss how we can support your current and future needs
Your strategic partner in driving operational excellence and better health outcomes