Payers

How Payers Benefit from Working with Curaspan

Building on more than 14 years of experience connecting leading hospitals with their post-acute providers online, Curaspan Health Group extended its Synchronized Patient Management™ solution to payers.

With ReviewCentral™, payers generate better clinical and financial outcomes with workflow automation and real-time information shared with providers.

 

Built on the secure, HIPAA-compliant Curaspan platform, ReviewCentral combines messaging tools with work lists, alerts and business intelligence to make concurrent reviews more efficient. Start them as soon as possible, with a notice of admission and real-time census updates pulled from hospital ADT feeds with patient demographic and insurance information. Authorize placements. Quickly and efficiently.

Executive Leadership

Challenges Benefits of Curaspan

Partner relationships.

Better interactions with more timely, informed decisions.

Structured workflow and standardized communications produce faster response times that increase provider satisfaction while communication audit trails resolve differences quickly.

Quality care.

Improved medical outcomes.

Timely delivery of discharge summaries trigger 48-hour post-discharge follow-ups to help cut readmissions. Data captured for key metrics (e.g. readmissions by provider, physician, placement, diagnosis) promotes best-practice protocols.

Financial performance.

Controlling costs with better data.

The real-time delivery of the notice of admissions starts discharge planning sooner, helping to meet geometric LOS; cut inpatient acute-care costs; and avoid lengthy, costly appeals.

Staff productivity.

Decreased manual labor, increased efficiency.

Workflow automation combined with a communication platform shared by payers and providers drives administrative efficiencies and optimizes the multi-site use of liaisons.

New models of care.

Communication with post-acute communities.

Connectivity via a secure shared communication platform with acute and post-acute providers fosters collaboration and provides patient-centric transparency. Documentation is exchanged easily and in a timely manner.

Compliance.

HIPAA-compliant software that generates documentation.

Curaspan utilizes 128-bit encryption and secured EDI of patient information via HL7 protocol. Solutions are HIPAA- and ARRA-compliant and capture full communication audit trails, complete with date and time stamps.

Directors of Care Management/Provider Relations

Challenges Benefits of Curaspan

Identifying and eliminating inefficiencies.

Decreased manual labor. Increased productivity.

ReviewCentral eliminates the need to fax and make phone calls. It streamlines concurrent reviews, for example, by providing a real-time census pulled from hospital ADT feeds with patient demographic and insurance information mapped to payer and contracted facilities. Aggregated documentation, shared workbooks and automatic alerts make staff more productive.

Missing or incomplete information.

Automated, real-time communication.

Built on a secure Web-based communication platform, ReviewCentral helps cut time-consuming, costly appeals by enabling payers to communicate with providers in real time about missing information or eligibility issues.

Provider, patient satisfaction.

More timely, better-informed decisions.

Real-time connectivity dramatically cuts the need for phone tag and faxing, enabling the secure and efficient exchange of complete information and the prompt start of concurrent reviews.

Risk management.

Technology-based checks and balances.

A more structured workflow with a user-centric dashboard, tickler work list, in-application pop-ups and automatic alerts (e.g. for next action due) minimizes missed steps. All activities are time- and date-stamped creating a communications audit trail.

Choosing user-friendly technology.

No steep learning curve.

ReviewCentral is easy to use and requires only two hours of training.

Avoiding costly, difficult-to-use IT investments.

Easy-to-implement, user-friendly solutions.

With a SaaS-based platform and applications, Curaspan manages releases, operations, infrastructure and upgrades. You'll be up and running in about 8 to 10 weeks with minimal involvement from your IT department.

Care Managers and Reviewers

Challenges Benefits of Curaspan

Missing or incomplete information.

Automated, real-time communication.

Built on a secure Web-based communication platform with messaging tools, ReviewCentral helps cut time-consuming, costly appeals involving missing pieces of required information or eligibility issues.

Meeting deadlines.

Ticklers for deadlines, reminders for information.

Workflow communication tools enable the real-time delivery of documentation (e.g. notice of admission, responses to appeals).

User-friendly technology.

No steep learning curve.

ReviewCentral is easy to use and requires less than two hours of training.