TruCare Actions Drives Population Health Management Efforts
TruCare Actions is a population health management tool that includes a highly configurable rules engine for segmenting members and initiating outreach. TruCare Actions uses claims, medical management and even 3rd-party predictive risk modeling data to enable organizations to define specific parameters for identifying targeted populations, at-risk members and gaps in care and then automatically triggering events, workflows and tasks for intervention in support of population health management initiatives.
TruCare Actions can be used for complex data-driven identification of high risk members. TruCare Actions provides the ability to stratify members based on the member's diagnosis and other parameters such as claims history, authorizations and case history. TruCare Actions enables the identification of gaps in care and opportunity management by using both data analysis and real-time event or action generation capabilities. TruCare Actions identifies and initiates key actions to be taken based upon clinical rules determined by the care team.
TruCare Actions parameters are fully configurable and provide client-defined, automated workflow capabilities which can utilize risk score information to trigger care management activities, such as creation of tasks, cases and letter generation. As a result, TruCare Actions can assign tasks for not only care team members but also for individual members and providers resulting in better health management and ultimately better population health.