Provide your Medicare Advantage members with continual and proactive care year-round and helps you improve quality ratings.
Maintain or improve Star Ratings by launching data-driven, multi-channel outreach campaigns for targeted interventions aimed to close gaps faster.
Comply with CMS requirements and gather annual member health status data to proactively close care gaps and find opportunities to improve outcomes.
|Year-Round Care Navigation|
|Early interventions to avoid care delays|
|Gives benefits and scheduling support|
|Provides care guidance throughout the year|
|Avoids costly ER stays|
|Targets and closes open care gaps|
|Assists with scheduling and follow-up|
|Improved member compliance and outcomes|
|Orientation about coverage and benefits|
|Schedules PCP to establish care|
|Better understands conditions and care|
Improvements across all Star categories
We facilitate comprehensive support for general health, particularly in the effective management of chronic conditions. By addressing communication issues, we ensure seamless interaction and superior customer services, fostering a more holistic healthcare experience for all.
A unified approach to improved outcomes
Quantum Health Pods
- A client-dedicated Pod team comprised of 30+ Care Coordinators, including clinical teams and member support teams working together to exclusively support members of an MAO
- They have direct provider engagement with strong relationships built throughout 24 years of experience.
- This manifests in-the-moment activity by intervening earlier on health signals.
- It also drives clinical strategies and informs solutions that help determine the most effective course of action.