Integrated Care Management
More Compassionate Care
It’s not only the right thing for your employees, it’s a smart business decision for your company: Superior care management is now essential to health benefits plans for employees and their families. Compassionate care starts here, helping members manage their care and the complexities of the process—leading to more satisfied employees and better health outcomes.
Becoming Exceptional—Integrated Care Management
Efficient and effective health plans need data and systems all under one roof, but most TPAs still outsource care management to another vendor. Lucent Health connects claims data and care management to deliver best-in-class care from highly trained, compassionate people. Employees are better informed about choices and costs, and aligned with incentives. This means more ease and options for members, and more control and savings for employers.
Data Sharing
Lucent Health shares pending and paid claims data with the Narus analytics engine on a nightly basis. This continuous Observation, Reporting, and Enrollment (CORE) Service is fundamental to the success of all the Narus services.
Data-Driven Compassion
Continuous observation refers to daily analysis of all claims activity. In this process, member claims are repeatedly analyzed and assigned risk scores based on a proprietary algorithm. At-risk members automatically undergo a manual review by our clinical staff, providing a second hands-on screening to make the determination of outreach/enrollment.
Engage and Respond
Our care teams can engage and respond to member needs as near to diagnosis as possible. If a patient is diagnosed with a specific disease, the care manager can reach out to provide guidance the next morning.
Superior Member Experience
The earlier our teams engage, the greater the opportunity to provide a better member experience and save money. Our concierge team answers member billing questions without transferring to a 3rd party.
Chronic Disease Management
Now self-insured companies can provide superior and specialized care management as a health benefit for employees. Lucent Health offers specialized expertise to serve self-insured employer members with chronic or life-threatening conditions.
Learning you have a complex medical condition can be overwhelming, but a dedicated support team with experience in specific diseases can make the diagnosis easier for employees to understand and seek treatment.
