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Delivering Value for Payers

Reduce risk by improving provider visibility and accountability

Delivering value for payers

The shift to a value-based health care model places pressure on payers to increase care quality and decrease costs. The new focus to manage care has created risk, and payers must now select reliable providers and continually monitor their performance.

We help payer organizations reduce this risk and monitor their network providers by automating and connecting the flow of data from the point of care, including full compliance with Electronic Visit Verification (EVV) requirements. 

With greater clarity on operational metrics and provider performance, payers can focus on cost-competitive services and create the foundation for sustainable network growth and increased value for members.

The CellTrak Care Delivery Management solution delivers the visibility, accountability, and insights that drive the payer-provider synergy needed to improve outcomes and protect both the brand and the bottom line.

Click on a tab below to explore our value further.

How providers use CellTrak
Payers can require or recommend their network providers use the CellTrak Care Delivery Management solution to coordinate and manage the delivery of in-home and in-community services:
  1. Mobile apps keep caregivers connected while out in the field:
  2. Desktop portals give care coordinators and office staff real-time insights:
    • The CellTrak Care Team Portal enables effective care coordination by integrating assessments, charts/trends, and visit histories with EHRs
    • The CellTrak Operations Team Portal enables efficient field force managment by facilitating automated workflows, real-time service updates/alerts/messages, and real-time staff locations

  3. HealthLink integration connects data:
    • CellTrak HealthLink integrates with 20 back-office systems (including EHRs and payroll) to ensure reliable, accurate, and timely flow of data

CellTrak Operations and Care Team Portals

We empower payers to easily visualize the care being delivered across their provider networks:

  1. Payers have access to CellTrak Care Team and Operations Team Portals, which allow payers to access the delivered care and operational data collected by the agencies.

  2. Payers have access to CellTrak mobile apps, which allow payers to communicate directly with specific caregivers, members, and families (optional service).

  3. CellTrak HealthLink integrates with the payer’s back-office systems to ensure the integrity and continuity of data.

Payers gain important benefits when they require or recommend their network providers use CellTrak in their daily operations:

Risk Mitigation:

  • GPS-enabled Electronic Visit Verification (EVV) ensures justification of provider charges and costs
  • Monitor real-time information on changes in member condition and services provided
  • Intervene in real-time if member needs are not being met and outcomes are at risk

Control:

  • Enforce compliance before payment and ensure 100% utilization of authorization
  • Gain real-time visibility to ensure the right amount of services are delivered, so the right outcomes can be achieved
  • "Own" a branded communication channel between caregivers, members, and families

Operating Efficiency:

  • Improved provider productivity drives operating cost savings
  • Intuitive user interfaces and automated data flow reduce administrative burden
  • Adaptable infrastructure for broad-based, real-time care coordination and optimization across provider networks

Organizational Transparency:

  • Secure communications and data sharing keeps all stakeholders on the same page, in real time
  • Management reports facilitate analysis of service delivery strengths and weaknesses across the network, as well as by agency, by service category, and even by caregiver

Dig deeper

We offer a range of additional, deeper-dive content to help you evaluate your options and maximize your ROI.

Visit our Resources section to learn more.

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