ILS Complex Care Management offers unparalleled value to health care organizations who manage care for members with complex needs. Through our comprehensive suite of specialized interventions, and proprietary cloud based technology platform, eCare Central, ILS’ Complex Care Management Program provides a streamlined solution for the care management needs of your members.
Our member-centric communications facilitate access to community based services and expert care coordination for improved health outcomes and quality of life for the elderly, individuals with special needs, and dual-eligible populations and their families.
Our program begins with a comprehensive assessment of a member’s health, social and environmental needs. An individualized care plan is produced and serves as the road map used to meet the member’s needs. A coordination of meaningful interventions that promote member wellness and independence as well as provide cost containment is then orchestrated.
Efficient Care Plan Development
Once members are enrolled into the program, ILS conducts a telephonic assessment, which has received official certification from the National Committee for Quality Assurance (NCQA). ILS is able to perform telephonic assessment in 16 different languages to help eliminate cultural and language barriers. The information obtained through the assessment as well as data received from the health plan is used by ILS’ clinical team to produce an individualized care plan. A group of highly trained nurses, social workers and care coordinators work as a team to manage the care and services identified on a member’s care plan. Services and benefits may include health plan covered benefits as well as home and community based services. The goal of the care management team is to keep the member healthy and in the least restrictive environment possible.
This model offers a quick and easy way to jump-start new care management programs for health plans. It enables a complete plan beneficial to providers, health plan clients and members themselves.
Differentiated Technology Platform
The award winning eCare Central technology platform developed by ILS integrates member data with metrics relevant to health plans’ needs. It is accessible to clients through a user-friendly web portal, allowing both plans and providers to track patient care and outcomes for truly coordinated care. Once a care plan is created, it becomes available to the health plan and a member’s provider, via the Care Plan Registry portal. Care Plan Registry is where we maintain up to date care plans and risk assessments. All of which meet State, Federal, HIPAA and HITECH standards for accessing protected health information.
The ILS Integrated Reporting and Analysis Dashboard (IRAD) provides health organization staff with the ability to run reports that display both summary and detail level information appropriate to meet high level management reporting requirements. Reporting capabilities can be tailored to meet your plan’s needs.
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