Developed a Web application that can help the payer to manage better care for the members and coordinate the utilization management services.

Solution

• Quality of care plays key role in value-based payment system. To achieve this, we have created a role-based web application built on AWS in secure HIPAA compliant environment.
• The users from payer department can track each member and their family health status. Based on historic and socio-economic factors, member risk is calculated and guides the care coordination team to plan for care interventions with providers. Our application also helps in easy prior authorization management.