TruCare is an enterprise care management platform that enables you to manage your members to improve care and lower costs effectively. Care teams access a single, integrated care plan while each user has tasks and assignments built into the workflow. Care managers design and deploy personalized care management programs, and new member data is continually added, giving users an up-to-date view of each members health. Users efficiently manage utilization, including appeals and grievances, authorizations, procedure requests, concurrent reviews, discharge planning, care coordination, and more.
Segment your member population and consistently deliver tailored care management and utilization management programs to each population. Populations can vary by factors such as a line of business, state, region, program, client, or unique definition. You can target specific interventions for each population and automatically execute workflows, rules, and policies according to your segmentation.