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Enabling Seamless Communication Between Health Plans and Care Teams

Health plans and accountable care organizations (ACOs) have a wealth of information on large groups of people, but don’t have an easy way to share relevant data with physicians and other care providers. Collective Medical’s enhanced functionality, Flags, now enables health plans and ACOs to create notes for large subsets of members and automatically share that information across Collective’s network.

This first-to-market functionality fuels direct, real-time collaboration with a member’s care team, without the need for manual data entry for individual members. Here are three examples of the ways that a health plan or ACO might take advantage of this new feature.

1. “Triple Threat” Guidelines

“Triple Threat” medications—opioids, benzodiazepines, and muscle relaxants—put an individual at a high risk for harmful, or even fatal, drug interactions when prescribed with other medications. Flags enables health plans to tag all members on these medications, which then helps clinicians make informed care decisions.

2. Programs and Resources

Health plans and ACOs often provide at-risk patients with intensive case management resources, a dedicated care manager, or enrollment in a specific program. Busy care teams armed with this knowledge can help direct a patient towards more appropriate care settings and support patients in taking advantage of the resources provided.

“We have access to tons of information on our members, but we didn’t have an easy way of communicating that information with providers. The ability to unify our efforts and flag our shared members will be a huge relief to our already busy care managers. We’re excited to have this functionality at CareOregon to collaborate more closely with providers for better member outcomes,” says Summer Sweet, Triage and Data Integration manager at CareOregon, a health plan serving 300,000 members.

3. Care Gaps

Providing physicians, nurses, case managers, and social workers with relevant and valuable information allows care teams, health plans, and ACOs to work together to provide the best and most comprehensive care. This is incredibly important, especially with patients who may be at risk or those that experience care gaps due to missing information.

Chris Klomp, Collective Medical CEO says, “Our objective is to enable communities to come together to collectively care for the needs of the individual. Collective is committed to developing lasting solutions that facilitate seamless collaboration between health plans and care teams in this pursuit, and Flags fundamentally changes the way these groups understand and engage with individuals who previously slipped through the cracks.”

Brittany Eastman
Content Marketing Specialist