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eQCare® Services

Care Coordination

eQCare® Care Coordination Services is our “high-touch” care management model. Designed to enhance your business and clinical intelligence system, the care coordination staff provides health care benefits to your patients that technology alone cannot deliver. With hands-on, face-to-face care coordinators, the quality of care is improved and unnecessary spending is reduced, including reduced readmissions for the demographic group responsible for the highest resource utilization rates. From ACOs to commercial health plans and Medicaid contracts, eQHealth delivers services and hosts more than 250,000 users on the care coordination technology platform.  

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Health Information Exchange / Clinical Integration Framework

Utilization Review

Medical Management

eQCare® Medical Management Services goal is to oversee and ensure the quality of the relevant care while promoting appropriate utilization of medical services by reducing costs and using plan resources. Patients receive the best possible care based on medical necessity. Costs are managed by assuring the level of care is appropriate to health need, and repetitive, unnecessary or inappropriate services and costs are minimized or eliminated. Our workflows and processes include a network of professional service representatives backed by a highly experienced clinical staff of nurses and physicians. Our services, delivered via online web portal, fax and/or telephone, help health plans by providing a means to monitor the appropriateness of all medically necessary and covered services for pre-service care, concurrent review, and post-service care delivered to your members in alignment with your plan guidelines.

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Our Population Management Solutions Touch Over 10 Million Lives Annually. Learn How We Work.

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Have any questions? Call us toll-free.1-800-720-2578