ENCOMPASS Care Coordination Services
Health plan members face many challenges when a medical condition affects their daily life. Increasing medical risks and deteriorating health can lead to disruptions and limitations for members while draining their individual plan benefits. It can also place financial strain on a health plan.
To assist with these health challenges, ENCOMPASS offers many types of Care Coordination programs, each developed to address people with different care needs.
Customizing Solutions
At ENCOMPASS, we work with each client's health plan requirements to build a customized profile from our comprehensive Care Coordination and Medical Management solutions. Our Care Coordination services can include:
- Case Management
- Chronic Care
- Disease Management
- Maternity Management
- Transplant Management
- Disability Review/Absence Management
- Workers' Compensation Review
ENCOMPASS Care Coordination case information is completely integrated between programs as well as with our Medical Management services. This allows members to move seamlessly between programs, depending on their health status and medical situation.
Improving Outcomes
For more than 20 years, our commitment to supporting the right care at the right time in the right setting has created successful partnerships with members, clients and health care providers. Because we work to improve the quality of medical care received as well as eliminate unnecessary treatment, health care costs generally decrease due to improved outcomes.
To help ensure our services conform to best practices in the industry, our Case Management and Disease Management programs are accredited by URAC, a respected accreditation organization.
Demonstrating Results
ENCOMPASS' Care Coordination program value is demonstrated through report packages documenting outcomes, savings and return on investment. All reports are specific to the individual client and demonstrate value in terms of health care savings and improved health outcomes.