Integrated Care Management Enhancements

Give care managers data-driven suggested responses for Discovery Framework-based internal assessments and Milliman Care Guidelines (MCG) assessments. Boost community engagement and improve assessment completion rates by exposing MCG assessments on Experience Cloud sites. Prevent duplicate care plan elements by using the enhanced workflow for updating care plans. Get accurate assessment data with autosave for internal assessments and MCG assessments.

  • Optimize Smart Patient Care with Suggested Assessment Responses
    Help care managers administer assessments faster by enabling suggested responses for Discovery Framework-based internal assessments and Milliman Care Guidelines (MCG) assessments. Reduce manual data entry by getting suggested responses for assessment questions based on sources such as previous responses and Einstein Generative AI. Care managers can review, accept, or dismiss the suggestions to ensure human oversight and deliver an improved patient experience.
  • Boost Patient Engagement with MCG Assessments for Experience Cloud Sites
    Deliver a more engaging and improved patient experience by exposing MCG assessments to Experience Cloud sites. Care managers can securely send MCG assessments to community members via email. Then, members can complete the assessments on the Experience Cloud site in their own time, without having to visit a clinic or hospital. Improve assessment completion rates by making assessments more accessible and flexible.
  • Prevent Data Loss by Automatically Saving Assessments
    Help care managers administer assessments without worrying about data loss with autosave for Discovery Framework-based internal assessments and MCG assessments. As care managers enter assessment responses, the assessment is automatically saved every few seconds. They can also leave the assessment and later resume exactly where they left off, as the assessment is saved with an In Progress status.
  • Streamline Care Plan Updates with the Enhanced Workflow
    Get a clean and structured care plan and reduce administrative overhead when you update care plan elements. Care managers can add new problems, goals, and interventions to a care plan’s existing hierarchy without duplicating the care plan elements.
  • Facilitate Payer Collaboration with Authorized Care Data Access
    Enhance alignment with payer workflows with the new Member Plan Care Plan, Member Plan Medication Statement, and Purchaser Plan Care Program objects. These objects ensure that care teams have quick and secure access to care data tied to the specific member plans and purchaser plans that they’re authorized for.