Payers
How Payers Benefit from Working with Curaspan
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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. |
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