Healthcare Providers

Make Test Ordering More Predictable


Medical Policy

Uniform medical policy throughout your clinics

You determine the medical policy for your patients in accordance with the Health Plans and Professional Society Practice Guidelines

Shared Decision Making And Clinical Decision Support

We program your Medical Policy into the Point of Care patient workflows

 

Liability Costs

Electronic audit trail of informed consent lowers the risk of non-repudiation

Informed Consent is not just a signature

The liability rests on the healthcare provider

We are providing you with a robust and tamper evident consent process

According to the Physician Insurers Association, 6% of malpractice claims arise from problems with informed consent

 

Economic Benefits

Your clinical or other staff spends >50% of their time on preauthorization for lab tests and other administrative tasks

There has to be a better way

Insurance Verification and Pre-Authorization
Ensures clinics stay within medical policy of Health Plans and Professional Societies practice guidelines

Reduces expenditure:

  • Associated with redundant testing
  • Leakage prevention by directing clinicians to in-network laboratory providers

 

Gains realized from the adoption and meaningful use of health IT pertaining to the Health IT for Economic and Clinical Health (HITECH) Act enacted in 2009 to incentivize the use of IT in medical practice

 

Clinical Benefits

  1. Patient care workflow through telehealth frees up doctor and genetic counselor time to spend with patients, especially high risk patients.
  2. Electronic process streamlines patient intake process, improves patient education, clinical decision support, and informed consent.
  3. Real time management of care, ensuring follow-up and required tests are not missed.
  4. Assists clinicians with shared decision making by supporting standard of care, and adherence to professional society guidelines.
  5. Electronic record allowing for data collection for quality assurance and determining medical policy through research studies.

National Committee for Quality Assurance
Report Card for Perinatal Care 2015

The Need for Improvement:

In 2012,

The low birth weight rate was 8%

Preterm birth rate was 11.4%

The cost of lost work and pay over the lifespan of babies born preterm was $5.7B

Each year in the US, one in eight babies is born preterm

In 2009,

Preterm births represented 35% of infant deaths

Nearly 30% of pregnant women 25 years and older, do not receive timely prenatal care

Pregnancies with limited prenatal care have twice the risk of preterm birth and infant mortality than pregnancies with sufficient care

The Bottom Line:

Obtaining appropriate perinatal services and education are crucial components of a healthy birth.

Understanding how to stay healthy  can prevent complications that may affect both mother and baby before, during and after pregnancy.