Prospective Interventions

Improve member well-being and extract necessary data for your organization

As a result of our dedication to improving the well-being of the individuals our partners serve, Altegra Health has become a single hub for gathering analytics that drives suspect targeting. Through our prospective intervention solutions, we assist health plans with extracting the necessary data for risk, retention, and care management services.

 Features

  • Member Outreach & Engagement Services – Identify undocumented risk adjusting conditions through welcome calls and health surveys. Click here learn more.
  • Primary Care Physician (PCP)- based Prospective Assessments – Facilitate provider office visits with targeted member interactions and enhance member-provider relationships while closing gaps within the system with SMART Appointment Scheduling™. Click here learn more.
  • Clinical Care Visits – Capture risk adjusting conditions and a variety of HEDIS®* measures, while coordinating the care between the member and provider through home assessments. Click here learn more.
  • Medical & Utilization Management – Enable your healthcare organization to receive “an extension” of staff count as well as a highly scalable, flexible automation program to reach a higher percentage of enrollees at a low cost. SMART Connect™ engages with members, providing care management information and reminders, and capturing member care feedback. Click here learn more.
  • Provider Education – Improve risk scores, enhance audit results, and support pay-for-performance initiatives with in-person or Web-based ICD-10 documentation, and risk adjustment training. Click here learn more.
  • Community & Social Service Programs – Access community programs that are available to healthcare consumers through COMMUNITY Link™, allowing them to receive application assistance for public and private benefits for which they may qualify, creating a positive effect on their overall health.  Click here learn more.
  *HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).