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A health plan's medical utilization typically accounts for 85 percent of its overall costs. The combination of the QNXT™ enterprise application system and the QNXT Case Management application gives organizations complete control over all the healthcare data needed to manage these costs throughout the continuum of care.
The QNXT Case Management application is an integral component of the QNXT enterprise system. The application takes advantage of the claims and benefits information within QNXT to provide case managers with access to real-time data and enable them to proactively identify members for appropriate interventions.
QNXT Case Management benefits:
- Reduces healthcare costs by identifying those members who generate the highest costs and encouraging them to participate in care-management programs.
- Improves member satisfaction by improving the quality of care.
- Improves consistency and accuracy by automatically scoring assessments and auto-assigning severity levels to cases.
- Drives efficiencies by automating authorization, pre-certification and referral workflows, and consolidating all care management information in one easily accessible member record.
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Information
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For more detailed information, please call 1-800-569-1222. |
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