Integration of Patient, Provider, Member & Health Plan data in near real-time ,bi-directional manner using Interoperability Hub – FHIR, API, Integration. Drive PHM campaigns, patient outreach / digital engagement for decreased MLR. Population Risk Assessment & Stratification, Care Coordination & Management and Effective Member Engagement.
Tailor-made provider network management solutions to enable in-depth analysis and monitor provider performance against set benchmarks with real-time alerts to notify the major changes in provider performance. The automated provider network management solutions are customized to perform an in-depth analysis of existing networks, also assisting in the creation. To enable new and multi-tiered pricing structures with aligning contracts, fee schedules and data, Infinite can engineer advanced provider management solutions on payer demands.
Customized medical network management as per the payer settings with built-in smart business rules, provider document checklists, intelligent case routing, pre-defined state-based rules and many other capabilities. With lean and six-sigma-based software, it helps to eliminate repetitive processes resulting in reduced FTE requirements and significant savings on operations costs.
Infinite Provider Master Data Management solution uses Ethereum blockchain design which has rule based engine to compare and calculate data quality score and integrate database with smart contract. It ensures expedited provider on-boarding, proper credentialing, network management innovation, optimized cost of operations, simplified HIPAA compliance and many more.