To health plans managing Medicare and Medicaid recipients, ILS Complex Care Management offers unparalleled value with a comprehensive assessment and coordinated meaningful interventions; our robust, proprietary cloud based systems eCare Central facilitates measureable, targeted delivery of care. ILS Complex Care Management offers patient-centric communication through a single point of contact that facilitates access to community based services and expert care coordination for enhanced health outcomes and improved quality of life to the elderly, individuals with special needs, and dual-eligible populations and their families.
ILS Complex Care Management provides a streamlined solution for the care management of Medicare and Medicaid populations. It 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 through care coordination.
Efficient Care Plan Development
Once members are enrolled into the program, the ILS call center conducts a telephonic assessment, which has received official cerification from the National Committee for Quality Assurance (NCQA). ILS is able to perform the 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 and single point of contact, beneficial to providers, health plan clients and members themselves.
Differentiated Technology Platform
To optimize the utility of the service, ILS has developed eCare Central that integrates member data with metrics relevant to health plans’ needs. All are accessible to clients through a user-friendly web portal, allowing both plans and providers to track patient care and outcomes for truly coordinated care.
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