Care Coordination | Software & Services from eQHealth

25, The Number of States eQHealth Serves.

250,000 Users on the eQSuite® Care Coordination Technology Platform.

500,000 Clinical Utilization Management Decisions Each Year.

10,000,000 Patients Served Throughout the United States.

High-Touch Care Coordination for Improving Care & Reducing Costs

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 hosts more than 250,000 users on the care coordination technology platform as well as provides services to these users. Specific highlights of our care coordination model are outlined below.

Care Coordination Services

High-Touch, Face-to-Face Care Coordination Staff

Hired from the local community they serve, eQCare® care coordinators work with you and the provider to support your patients with disease and psychosocial behavior management. Our embedded care coordination staff:

Understand the behavioral drives affecting individual patients or members.
Understand the local community and culture to engage patients more deeply; the result is improved behavior change to accomplish specific clinical guidelines and actions.
Serve as the frontline drivers for value and quality improvement programs.
Build relationships with physicians and providers to drive behavior change in these relationships as well as those for the patient.
Works with the physician’s treatment plan and the members’ personal health care goals as a starting point and then develops an individualized plan of care for each patient.

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

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URAC Accreditation for Disease Management

As an accredited disease management organization, eQHealth is equipped with the tools needed to promote quality coordinated health care by accurately assessing and responding to the needs of your patients or health plan members. URAC Standards promote evidenced-based practice, collaborative relationships with providers, and consumer education and resources.

Prevention and treatment plans developed for numerous chronic diseases and conditions including tobacco usage, unhealthy alcohol use, obesity management, clinical depression, asthma, COPD, hypertension, heart failure, coronary heart disease, chronic kidney disease, diabetes, and cancer among others.

Our Pricing is Value-Based. We Understand ROI, and We're Driven By the Success of Our Customers.

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EMR Integration

Unify disparate systems and fully integrate with 85% of current EMR market vendors.

Evidence-based Care Guidelines Integration

Provides quick and efficient access to Milliman Care Guidelines providing clinical decision support at the point-of-care.

Physician Profile

The coordinated healthcare system provides a physician profile that tracks and measures quality, utilization, and financial indicators including pharmacy, inpatient and emergency department costs.

Peer-to-peer comparisons for meaningful discussion between the attending physician and medical director.
Identifies opportunities for quality, utilization and cost pattern improvements.

Business Intelligence for Care Coordination

eQHealth’s analytics engine allows for detailed view of patient information and ad hoc analysis of data on multiple dimensions.

A data modeling tool allows for participant identification and stratification assuring appropriate resource utilization.
Cost and quality reporting capabilities include: HEDIS^®, PQRS and GPRO, among others.

Individualized Plan of Care

Allows the care coordinator to quickly and accurately develop an evidenced-based plan of care coordination developed directly from the physician’s treatment plan and the patient’s health risk assessments.

Provider Channeling

With a simple mouse click, the attending physician or care coordinator can locate and direct a patient to the nearest local network specialist, facility, and community service provider as well as supply contact telephone numbers, an address and turn-by-turn directions.

Population Health Management / Care Coordination