Gorman Health Group | CLINICAL
17625
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CLINICAL

The Value of Integrated Care

Quality initiatives must be effectively and efficiently managed to get optimal results. Now is the time to embrace integrated care models in an effort to achieve cost savings and provide access for your Medicaid populations. We will apply best practices in care transitions and provide robust coordination to develop outreach programs that retain membership, facilitate health behavioral changes and ensure essential community partnerships to achieve quality measures. We will provide the following capabilities to plans operating in Medicaid:

 

  • Applying tested methods for the creation of effective, population specific, case management processes;

 

  • Developing methodologies to add value to utilization management processes and ongoing medical loss ratio (MLR) oversight;

 

  • Offering assistance with model of care (MOC) development and processes /systems to capture clinical quality outcomes effectively;

 

  • Development of staff performance metrics and training to ensure proper clinical competencies;
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