HMS Essette Care Management software delivers a high-performance solution that meets our clients’ demands for integrated and expandable healthcare solutions. Our user-friendly, highly customizable platform provides unprecedented efficiency and flexibility.
HMS Essette believes in leveraging each partner’s experience and insight (including those your IT Department offers) to deliver a seamless solution best suited to your needs. And we’re always willing to consider new alliance partnerships based on client requests.
MCG provides evidence-based clinical decision support for payers to support their case management staff with the tools needed to effectively manage member outcomes.
Change Healthcare (formerly McKesson) provides industry-leading clinical evidence and expert technology to help payers and providers collaborate for better healthcare outcomes at lower costs. The InterQual® evidence-based decision support criteria help payers, providers, and government agencies make clinically appropriate medical utilization decisions.
Healthwise for Care Management delivers a single, trusted source of health education within the care manager’s workflow to reinforce coaching conversations o provide proactive member outreach via e-fulfillment or print.
First Databank (FDB) provides a robust medication tracking and reconciliation system that is integrated with Essette CM. This provides the ability to use Essette for a Medication Therapy Management (MTM) program and to complete reconciliations at time of a medical event (e.g. discharge, new eligibility, etc.).
Milliman Advanced Risk Adjusters (MARA) is a suite of risk adjustment tools for commercial, Medicaid, and Medicare population risk analysis. MARA is embedded within Essette to calculate risk scores, including predictive risk scores, based on demographics, medical and pharmacy claims.
A preferred partner, Paperless Productivity® offers fax and optical character recognition (OCR) healthcare solutions to streamline processes, increase security and bring healthcare organizations more fully into HIPAA compliance.
MeU Care is the leading HIPAA secure mobile, multimedia, multidirectional communication solution focused on improving outcomes and reducing costs.
Halfpenny provides a comprehensive tunnel for us to exchange clinical data with all EMR/HIE systems. With Halfpenny, Essette is able to get data out of the EMR easily and is able to push data into the EMR, including care plans, notes, and other communications.
Wellframe partners with leading health plans and providers to transform care management & patient engagement. Our mobile platform enables our partners to optimally leverage their existing clinical resources to provide patients with ongoing guidance and support when and where they need it.
Agile Health delivers a blend of evidence-based clinical guidelines and proven behavioral science through an interactive and engaging text messaging experience designed to help members build healthy habits for life.
xG Health Solutions’ Intelligent Care Management™ is industry-leading care management content that includes comprehensive and condition-specific assessments that automatically suggest care plans with patient-specific goals for commercial, Medicare, and Medicaid lines of business.