Click4Care Foundation

The healthcare market is changing and Click4Care’s 360°Care Management™ approach was perfectly conceived to allow our clients to easily adapt to their current and future needs. Click4Care’s award winning, member centered application was built so that the ACO’s, Health Plans, MCO’s, PCMH’s, Medicare Plans, Medicaid Plans, TPA’s, Pharmacy-related and Specialty Needs organizations, can manage care in the most efficient way.

Click4Care Foundation is our core system, and our award winning capabilities include:

• Identification, Stratification and Analytics native to our system. Our imbedded stratification offers instant, seamless management of at-risk populations, gaps in care identification, and building of personalized care plans, providing your resources the advantage of automated interventions that are personalized for your members.
• Integration - We have successfully integrated our solution with a variety of core administration/claims adjudication systems and have out of the box interfaces built to accommodate InterQual and Milliman clinical criteria. Our powerful integration pulls information from all appropriate external applications (claims, pharmacy, labs, clinical decision support tools, clinical criteria systems, etc.) into the Member Record, enabling your staff to interact with only one system. This access to external systems will unlock the power of your information across data sources and enhance your ability to collaborate between care managers, members, providers and social support resources.
• Integrated Workflows for all care management activities - Click4Care provides users with a unique Work Board – a virtual “Mission Control” where all CM, DM and UM notices, alerts and overdue items are highlighted to bring the most important aspects of the workload quickly and easily to the user’s attention. Additionally, a supplemental Supervisor Dependent View (SDV) is available through the User Interface, allowing care managers and supervisors a quick view into their care team’s progress.
• Health and Wellness is included within the Click4Care 360° Member Record and integrated with Case Management, Disease Management, and Utilization Management to continually keep all areas of the Member Record updated. Our comprehensive and integrated Care Management capabilities are uniquely designed to have best-in-class workflow configuration and care plan functionality designed by our product management team made up of experienced clinicians. The result for our customers is a positive effect on MLR while also fully automating the administration of wellness programs that not only save on members’ claim costs, but also promote healthy behaviors.
• Health Risk Assessments - The Click4Care Member Record can consume external HRA’s or the client can configure a HRA within the solution utilizing Click4Care's full suite of content authoring and workflow management tools, including risk stratification tools. Additionally Click4Care can support the calculation and tracking of Incentive Based Benefits.
• Click4Care Rules Engine, a seamless and transparent coordination among Utilization Management, Case Management, Disease Management and Health and Wellness functionality, simultaneously providing real-time updates, alerts, and Gaps in Care Messages, to the member record as well as the user’s Work Board.
• Channels - Our communication can be by mail or e- fax; letter, email and web portal applications. We have also successfully deployed our application to drive letters to local printers, in-house mail rooms, fulfillment centers, and even pick-and-pack vendors. We have also successfully integrated with external letter frameworks. Click4Care’s multi-channel platform provides preferred contact management across telephonic, IVR, Fax, Letter, Email and Web Portal applications. Our care management correspondence, documentation and letter generation functionality is imbedded within Click4Care enabling a streamlined approach for the creation of accurate, comprehensive internally- and externally-oriented documentation with template-based forms and letters, all integrated with configurable Provider and Member Portals, allowing everyone within the care continuum to collaborate on the Member’s plan of care in real-time.
• Configuration - Click4Care delivers the ultimate care management toolbox filled with tools for dynamically configuring and automating any and all aspects of your care management business (you can change configuration and automations in real time as often as you like). All of our configuration and authoring tools are GUI based tools that allow your subject matter experts the power to mold Click4Care to your unique workflows, business processes and policies instead of relying on tight IT resources or the vendor.
• Care Plan - Within Click4Care Foundation is a full suite of content authoring and workflow management tools, allowing our customers to define, copy/edit, and update assessments, including business rules that align program-specific materials, interventions, talking points and correspondence to the appropriate health and wellness, case, or disease management activity. This, along with our Care Management Pathway’s content, provide the ultimate in flexibility for you medical policy.
• Clinical Content - With Click4Care you get the best of both worlds- Click4Care provides a highly configurable care management platform that allows our customers to leverage their own clinical content, or defer to Click4Care developed content extensively researched and incorporating evidenced based guidelines as well as nationally accepted guidelines from organizations such as the CMSA, DMAA, NCQA, URAC, National Guidelines Clearinghouse, and other specialty organizations. Our Care Management Pathway’s, pre-defined assessments and care plans are based on current industry best practices, compliant with NCQA/URAC standards. We also have out of the box integration to InterQual and Milliman clinical criteria.
• Scalability and performance - Not only did Click4Care take great pains to ensure our system architecture enables even the most complex implementations, we also are built for performance, currently we support clients with 24 separate integrations, the majority of which are real-time, while delivering lightening fast response times for hundreds of concurrent users.
• Advanced Analytics - Click4Care’s imbedded Member Analyzer™ and Click4Care Analytics and Reporting application allows for real-time analysis and care management of your members.
• Proven Implementation - Click4Care has developed a proven implementation methodology that successfully supports the complexities of each organization. Click4Care has met client deadlines of 5 months for a full integration as well as the demands of regionalized, specialty organizations to the large, highly complex organizations.

For more details, click through our Products menu, or contact Click4Care today at 614.431.3700, extension 3659, or requestinfo@click4care.com