Care Management
Improving Health Outcomes. Increasing
Effectiveness and Efficiencies.
Healthcare spending
is on the rise
According to the Centers for Medicare and Medicaid Services (CMS), national healthcare spending is projected to grow by an average of 5.7% between 2020 and 2027, reaching nearly $6.0 trillion by 2027.
To manage this growth, government-sponsored healthcare programs need forward-looking solutions that will improve health outcomes and reduce costs for complex, high-risk and high-spend beneficiaries.
National healthcare spending growth is projected to average 5.7% from 2020 to 2027, reaching nearly $6.0 trillion total.
Utilization Management
Providing the right patients with the right care in the right setting — every time.
Government sponsored healthcare programs need forward-looking solutions that will improve health outcomes and reduce costs for complex, high-risk and high-cost beneficiaries. Acentra Health's Utilization Management solution is your first line of defense in managing rising healthcare costs.
We meet the unique needs of each beneficiary while balancing federal, state, and client specific requirements. Our patient-centered approach aligns with today's healthcare trends and strengthens the patient-physician relationship.
Case Management
Identifying and improving outcomes for high-risk, high-cost beneficiaries.
Acentra Health's Case Management solution leverages patient data to help providers identify high-risk, criteria-driven beneficiaries.
Our software provides a tailored methodology to meet patient needs and drive healthier choices and behaviors. These recommendations are built upon evidence-based practice and member-centric programs that improve health outcomes and reduce the number of episodic health events.
Solving complex care needs
When individuals have complex, comorbid, or ongoing care needs, Acentra Health Case Management can help coordinate their treatment plan.
We use data to identify high-risk, chronically ill, and other criteria-driven individuals in your program. For these individuals, a designated Acentra Health case manager facilitates communication and treatment planning with multiple stakeholders — including providers, caregivers, community resources, and more.
Acentra Health case managers support:
- Acute healthcare needs, diagnoses, or hospitalizations
- Complex medical issues and comorbidities
- In-depth hospital discharge requirements
- Interconnected medical and social issues
By blending case, disease, and lifestyle management approaches, Acentra Health Case Management transforms unhealthy patient behaviors and delivers a measurable return on investment (ROI) compared to traditional disease management programs.
Care Coordination
Leveraging cross-disciplinary insights to create a full-scope view of patient health.
Acentra Health's care coordination approach is data driven combined with on-going client engagement. Our focus on healthcare trends and technology-driven solutions creates cost savings for our clients through innovations and automation that lead to analysis and timely interventions.
Employee Assistance Program (EAP)
Our goal is simple: Improve the health of those we serve.
The Acentra Health Employee Assistance Program (EAP) brings
clinical and organizational excellence to our customers through
a boutique of services designed to improve employee
emotional wellness and enhance individual and
organizational performance.
Care Coordination
Leveraging cross-disciplinary insights to create a full-scope view of patient health.
Acentra Health's care coordination approach is data driven combined with on-going client engagement. Our focus on healthcare trends and technology-driven solutions creates cost savings for our clients through innovations and automation that lead to analysis and timely interventions.
Employee Assistance Program (EAP)
Our goal is simple: Improve the health of those we serve.
The Acentra Health Employee Assistance Program (EAP) brings clinical
and organizational excellence to our customers through
a bouquet of services designed to improve employee
emotional wellness and enhance individual and
organizational performance.
Pharmacy Management
Increasing pharmacy efficiency, accountability, and compliance with expert guidance.
Our suite of pharmacy management systems and strategic recommendations help government sponsored healthcare programs improve processes, maintain compliance, and make timely decisions based on current market trends.
Prior Authorization Services
As drug regimens increase in complexity, cost, and risk, robust Prior Authorization (PA) systems are essential for controlling cost. Our fully-automated PA system ensures appropriate utilization with consistent and unbiased outcomes.
Clinical Advisory Services
With a team of expert clinical advisors, we can help government agencies navigate ever-expanding prior authorization and drug utilization review criteria, manage pharmacy spend and improve patient outcomes.
Drug Utilization Review
Our Retrospective Drug Utilization Review (RDUR) solution is a comprehensive toolkit that includes expert clinical services, extensive system capabilities, and robust data analysis to help government agencies determine their program’s drug use trends and gaps in care.
Absence Management
Tracking and analyzing employee absences to identify trends and opportunities
Acentra Health’s sophisticated tracking program provides employers with detailed absence management tracking and reporting. We analyze absence trends for an employer's population and provide recommendations on programs the employer can implement to reduce absenteeism and improve productivity.