CareEngine Service 

In today's healthcare system, data critical to a patient's overall medical care comes from a variety of unrelated sources including claims, pharmacies and laboratories. Until now, treating physicians were forced to rely on fragmented information, and often on a patient's anecdotal recall of medical history. As a result, both physician and patient were exposed to higher risks of misdiagnoses, ineffective drug prescriptions, unnecessary lab tests, and less-than-optimal treatments. Until now.

Developed by physicians, the CareEngine Service pairs the latest evidence-based standards of care with patient claims and eligibility data aggregated by HealthEOS from the more than 19,000 medical, pharmacy and laboratory claims we receive every day. When potential problems are identified, clinicians on staff at ActiveHealth Management immediately review the cases and notify treating physicians by phone call, letter or fax depending on the urgency of the situation. Patients receive better care. Providers have added resources, more satisfied patients and a better defense against malpractice risks. And payers save as much as $10 per employee per month in avoided medical claims, according to a recent study that was published in the American Journal of Managed Care (Feb 2005: 93-102).

The CareEngine technology also supports a suite of care management services offered under the HealthEOS Advantage solution suite.

For more information, contact us.