“Better health comes one member at a time.” It sounds simple. But implementing a member-centric medical management operation is not a trivial exercise.

How do you place critical member information on one screen for clinical staff when data resides on multiple platforms? How do you scale to serve the needs of millions of members? How do you create and modify workflows efficiently to meet changing clinical protocols? How do you ensure effective coordination with providers? Will your medical management software meet future needs in the rapidly-evolving healthcare environment?

Member-centric delivery creates tremendous competitive opportunities for health plans, but also presents major technological and operational challenges. Landacorp’s CareRadius suite is third generation medical management software designed to help health plans meet these challenges head-on. Its n-tier architecture is flexible and scalable to support member-centric medical management operations on a mass scale. The CareRadius suite has the ability to pull member data from multiple data sources into a single consolidated workflow, apply clinical rule sets with virtually unlimited flexibility and present this information in a meaningful way to care teams supporting an individual member.

CareRadius is designed to be your single-source medical management operating system – enhancing workflow and decision-making processes by providing clinical staff the most accurate data in the shortest amount of time. Its features include real-time data alerts, improved productivity through automation, greater flexibility and functionality, and better security. The CareRadius suite also provides the tools needed to support online physician collaboration through its CareAffiliate module, and streamlined member outreach to support efficient, targeted health campaigns using its CareFind application.

The CareRadius suite is a comprehensive solution with an unparalleled level of integration and flexibility and the lowest total cost of ownership. It simplifies complex medical management processes and positions health plans to deliver tomorrow’s member-centric care today. It spans the complete continuum of member care including:

• Member identification for case and disease management programs;
• Preauthorization and retrospective review; and
• Automated provider-plan communications.

The CareRadius suite operates on a dynamic Web application, giving you all the benefits without the cumbersome user experience. Its unique member-centric design consolidates data sources on one platform – minimizing errors and duplicative searches, while improving compliance and health outcomes.

Real-time data alerts
Reducing information latency leads to better service performance. Need to know Mr. Smith’s lab values the minute they come in? The CareRadius suite brings them directly to the user – there’s no need to repeatedly check to see if the results have come in.

Improved productivity through automation
Automated workflows allow users to simplify complicated interactions, including eligibility verification, benefits determination and care authorization. Payers and providers can realize new efficiencies in case and disease management while minimizing cost. The CareRadius suite also automates the identification of members requiring case or disease management, recommending essential educational materials to improve health and triggering referrals for additional services.

Ease of integration
Landacorp’s CareRadius suite offers extensibility and easily integrates with other system architectures to lower infrastructure maintenance. Unlike other systems, the CareRadius suite can look at the member-source system and display member information within the application.

Greater flexibility and functionality
The CareRadius suite’s unique and functional design improves scalability, fault tolerance, data integrity and consistency.

• Scalability results in a system that works faster, since tiers can be sized appropriately and deployed in clusters to adjust capacity as needed.
• Greater fault tolerance means less downtime as redundant Web, application and database servers provide graceful fail-over and recovery from network or hardware failures.
• Improved data integrity is achieved since all updates go through the business logic tier – ensuring that only valid data is updated in the database.
• As business logic is implemented only once, on the server side, it ensures consistency across the entire enterprise.

Better security and HIPAA compliance
The CareRadius suite uses the latest encryption and signing techniques to provide a superior security model. It can be integrated with external solutions such as Active Directory and Lightweight Directory Access Protocol (LDAP) to provide authentication services in a single sign-on environment.

Unprecedented support
Landacorp provides full technical and operational support at all stages of implementation and beyond. Our system-wide consulting service assesses the technical preparedness of the site to install the CareRadius suite and provides a full, in-depth review of workflow and integration. During the specification and preparation stage, we ensure that the system is installed and configured to accommodate the client’s current and future business model.