Case Studies
Manifest MedEx and Anthem Blue Cross Partner to Improve Care Coordination, Streamline In-Patient Utilization Management Review, and Provide a Seamless Member Experience
Health plans increasingly rely on a broad scope of clinical data to help improve care transitions, identify and address gaps in preventive care to improve quality, and provide more seamless and personalized care for their members. Anthem BlueCross (Anthem), California’s second largest health plan serving more than 8 million members, and Manifest MedEx (MX), California’s…
Read MoreManifest MedEx and Leading California Health Plan Speed Care Coordination and Improve Member Experience with Hospital ADT Notifications
Participating in California’s largest nonprofit health data network streamlines post-discharge care coordination, reduces readmissions, and improves member outcomes and experience — all while saving more than 9 hours a day of staff time for a single team Over the past few years, health plans large and small have been transitioning to new roles in the…
Read MoreThe Role of Admission, Discharge, Transfer (ADT) Notifications in Improving Care Coordination
How Optum uses ADT notifications to improve Transitions of Care and reduce Emergency Department and inpatient readmissions Optum, formerly NAMM California, is an independent physician association (IPA) that develops and manages provider networks, representing a network of more than 600 primary care providers and 2,000 specialists in Riverside, San Bernardino, and San Diego Counties. In August 2022,…
Read MoreOptimizing and Streamlining HEDIS® Reporting With Health Information Exchange Data
How an innovative health plan saves time and improves quality scores with data from Manifest MedEx As part of its quality improvement efforts, Health Plan of San Joaquin uses HEDIS® to measure performance and gauge quality and effectiveness of care provided to their members. Developed and maintained by NCQA, the performance measures in HEDIS® are related to…
Read MoreImproving Public Health and Communicable Disease Control With Health Information Exchange
How the largest county in the U.S. launched an innovative prevention effort using ADT alerts and longitudinal patient records to coordinate care for vulnerable pregnant women The San Bernardino County Department of Public Health (SBCDPH) works in partnership with their communities to promote and improve health, wellness, safety, and quality of life in San Bernardino…
Read MoreHealth Plan of San Joaquin Drives California’s Mission to Vaccinate Vulnerable Populations
As California’s Covid-19 vaccination distribution began, a leading Medi-Cal health plan focused on innovation and strategy to support its highest-risk and underserved members Located in the heart of California’s multicultural Central Valley, Health Plan of San Joaquin (HPSJ) is the leading Medi-Cal managed care provider in the region, serving over 91 percent of Medi-Cal recipients…
Read MoreCommunity Medical Centers Partners With Manifest MedEx To Improve Care Transitions
Community Medical Centers (CMC) is a Federally Qualified Health Center and certified Primary Care Medical Home (PCMH) with locations in San Joaquin, Solano, and Yolo counties. CMC clinics serve the safety net population, and most of CMC’s more than 100,000 patients are insured through Medicare, Medi-Cal, or the Health Plan of San Joaquin (HPSJ). CMC…
Read MoreInland Empire Foundation for Medical Care (IEFMC)/Foundation Accountable Care Network (FACN) ACO Optimizes Post-Discharge Workflow and Reduces Readmissions Rate With MX Tools
The Inland Empire Foundation for Medical Care (IEFMC) is one of the most comprehensive preferred provider organization (PPO) networks in Southern California, comprised of more than 2,000 physicians, ancillary providers, and 27 hospitals in Riverside and San Bernardino counties. Organized by IEFMC, the Foundation Accountable Care Network (FACN)® is a Medicare Shared Savings Program ACO,…
Read MoreA Commitment to Optimal Care and Vibrant Health
How one of the largest Medi-Cal plans in California improves quality and care for members through partnerships and data sharing Inland Empire Health Plan (IEHP) is one of the 10 largest Medicaid health plans and the largest not-for-profit Medicare-Medicaid plan in the country, serving more than 1.4 million residents in the Inland Empire and nearly 90…
Read MoreData for Home Health: Helping Patients Stay Home From the Hospital With Community Health Data
When Charter Healthcare first started delivering hospice, palliative care and transitional care to the most vulnerable patients in Southern California in their homes, they were challenged by not knowing their patients’ health histories. This picture changed when Charter joined MX. Now they know right away when one of their patients is in the hospital and…
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