Candidate Identification

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Identify Members who will Benefit from Disease Management

AveCare’s Disease Management application intelligently identifies potential candidates for education and management of chronic diseases that may have otherwise been left unidentified for education, intervention and communication to maximize health outcomes.  Use our out of the box rules engine, configure existing rules or add your own identification triggers through highly customizable configuration tools without intervention from technical personnel or added programming costs.  

  • Identification:  Automated analysis of medical claims, pharmacy claims, lab results and utilization review data locates potential candidates for disease management.
  • Stratification:  Use third party analytics, AveCare's rule engine or configure your own evaluation parameters to determine levels of potential risk.
  • Assignment:   Automated assignment to the appropriate personnel for triage.

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