Services

How We Do It

healow Insights was designed to support payers’ and providers’ in delivering a value-based model of care with the focus on achieving Triple Aim. To do this, healow Insights provides users with a number of comprehensive services designed to automate the exchange of actionable data between payers and providers.

Data Retrieval Services

Medical Record Retrieval

healow Insights medical record retrieval services offer an automated way to retrieve member charts electronically across all participating practices.

Our Medical Record retrieval services provide you with:

  • A secure and reliable solution to obtain current/historical member charts that reside within a provider’s Electronic Health Records (EHR) system.
  • A system that reduces on-site practice visits and manual computer entry.
  • An automated process that eliminates unnecessary practice disruptions.

Discrete EHR Data Aggregation

healow Insights is able to effectively help stakeholders meet supplemental data acquisition goals that improve clinical outcomes.

This service provides you with:

  • An automated and secure way to obtain standard supplemental data from a provider’s EHR.
  • Practice transformation services that ensure that data capture is accurate and in accordance with a health plan’s quality guidelines.
  • Discrete EHR data feeds that have been certified as standard supplemental data as part of the Primary Source Verification (PSV) audits conducted by payers.
  • Further satisfaction in knowing that this discrete EHR data can be used by payers for NCQA HEDIS®, NQF, and CMS reporting.

*HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Data-Driven Decisions with healow Insights

Discover how Shield Medical Group leverages healow Insights and Telehealth for remote monitoring and chronic care management, consistently meeting patient needs, and achieving a 4.7-star rating, with a target of 5 stars by 2023. Their team tackles care gaps using bi-directional data, ensuring the delivery of top-notch, evidence-based care. Integrating healow Insights into their operations eliminates the need for external software and promotes enhanced communication between payers and physicians for optimal patient outcomes.

Point-of-Care Alerts

Close care gaps with actionable point-of-care alerts that are integrated into the provider’s EHR workflow.

Point-of-Care alerts may:

  • Help providers improve compliance in closing gaps in care.
  • Eliminates a practice’s/provider’s burden to access third-party portals.
  • Promote accurate and efficient risk stratification reporting.
  • Improve clinical outcomes through collaboration between payers and providers.
  • Empower providers with a 360-degree view of member data.

Transforming Care for Two Practices With healow Insights

From capturing misdiagnoses to reviewing which prescriptions a patient has been prescribed, see how healow Insights has helped Pinnacle Family Care and AMA Medical Group improve patient care and their bottom line.

Pharmacy Integration

MTM Notification Services

Medication Therapy Management (MTM) Notification services allow payers and Pharmacy Benefit Managers (PBMs) to easily push actionable data to clinical care teams.

Using this service could mean:

  • Improved practice compliance and member medication adherence
  • Better communication through seamlessly integrated notifications
  • Improved STAR and EMTM program benchmarks
  • Increased member and provider satisfaction

Real-Time Benefit Check

Our solution gives providers and members accurate and real-time member specific out-of-pocket medication costs and coverage data.

Utilizing this service could help:

  • Provide transparent pricing information at the point-of-care
  • Eliminate surprise costs
  • Reduce member out-of-pocket costs and improve overall payer pharmacy cost utilization
  • Eliminate delays in member care