

CAREENGINESM SERVICES OFFERED UNDER COOPERATION WITH ACTIVEHEALTH MANAGEMENT
MultiPlan/WPPN has joined with ActiveHealth Management to bring an exciting new health care tool to our providers and clients. Over the past five years, ActiveHealth has created its proprietary CareEnginesm Service. Developed by a team of physicians and information technology experts, the CareEnginesm couples patient-specific clinical data (claims, pharmacy etc.) with the body of the most recent literature-based medical knowledge relevant to a particular patient. The CareEnginesm Service applies a series of clinical rule sets designed to flag cases in which there may be a problem with the current course of treatment, or a medical problem that is not being addressed. The CareEnginesm identifies possible problems ranging from potentially disastrous medical errors to instances in which preventive medical tests or treatment protocols are not being delivered. These care considerations are reviewed by ActiveHealth physicians and if appropriate are communicated directly to the patient's treating physician, via doctor to doctor phone call for the most urgent concerns, or by letter or fax. The system also generates lists of patients who would benefit from Disease Management services. Check out the ActiveHealth website www.activehealthmanagement.com
MultiPlan/WPPN is offering CareEnginesm Service as part of its HealthEOS suite of products and services. We are able to augment the ActiveHealth system by serving as the delivery vehicle for all claim and eligibility data, to enable the CareEnginesm System to more efficiently receive patient data from non-integrated sources. CareEnginesm Service is one more example of how HealthEOS is committed to bringing the finest products and services to its clients.
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