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ActiveHealth Management Overview

Posted on Mon, 19 Apr 2010 11:53:08 by Shante

ActiveHealth Management is a leading provider of clinically focused healthcare quality improvement solutions that produce improvements in clinical and financial outcomes beyond those of traditional medical management services.

Our service offerings are:

* The CareEngine® Service - our flagship population management solution. The CareEngine Service applies evidence-based clinical rules to aggregated member claims, pharmacy, and lab data to uncover opportunities to improve patient care and avert potential medical errors.
* Clinical Stratification and Identification (CSID) - a case selection process for disease management services. CSID validates the presence of a specific condition and assigns a stratification score reflecting a member's clinical events - e.g., hospital admissions, and clinical issues, e.g., lab abnormalities - summarized across all events and conditions for each individual member.
* Informed Care Management Service - a complete disease management solution. Informed Care Management fosters physician/patient communication and supports both the physician and the patient with evidence-based information that increases the likelihood of optimal treatment and avoidance of complex clinical events.
* Utilization and Case Management Services - traditional medical management services. UM and CM services are delivered by an experienced team of care management professionals at ActiveHealth's URAC-accredited facility in Chantilly, VA.
* Health Data Management Solutions - expert health data reporting and analytic services. HDMS, a wholly owned subsidiary of ActiveHealth, is a leader in clinical data management solutions that enhance efficiency and support decision making and planning for healthcare organizations.

The ActiveHealth Advantage

ActiveHealth's solutions offer a clear advantage to healthcare payors in that they incorporate sophisticated, clinically driven technologies and comprehensive evidence-based clinical content developed over the past six years by a team of physicians and information technology experts.

ActiveHealth's services have been shown to result in significant improvements in clinical outcomes and an associated reduction in healthcare costs ranging from 1 to 3% for commercial populations, and 2 to 4% for Medicare and Medicaid populations.
A Diverse Client Base

ActiveHealth's solutions have been adopted by commercial healthplans, self-insured employers and government payors with the total population served currently greater than 6 million enrollees, including more than 1,000,000 Medicaid members and more than 250,000 state and federal employees.

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