Payer Care Management

PwC's Care Management Solution enables E2E orchestration of core care management capabilities into one coalesced workflow leveraging Microsoft D365, Azure, and MC4H. This solution leverages PwC's differentiated experience in care coordination and operational excellence while utilizing logic and business rules to identify risks, customize care plans, monitor gaps in care, while also accounting for social determinants of health. PwC’s Payer Care Management model system for care management addresses core client needs to:

· Consolidate the clinical IT portfolio without requiring excessive platforms / interfaces

· Unveil insights embedded in data via advanced analytics and cognitive technologies

· Optimize Care Management functions through digitization, automation, and innovative tools such as “touchless” care planning

· Supplement overall population health strategy and operations by bringing tech enabled perspectives coupled with efficient digital solutions

Quote: Trisha Swift, Managing Director, Health Transformation:

“PwC clients find tremendous value in our Microsoft Dynamics enabled care management solution. The power of Azure cloud computing combined with the features offered on the MC4H have provided an innovative D365 solution to transform care management while driving improvements in clinical quality, patient and user experience, healthcare affordability, and operational excellence.”

Payer Care Management

Autor: Pricewaterhousecoopers LLP