What Are the Key Features of Enhanced?

Building on Core, Enhanced offers deeper engagement with the member population and expanded member outcomes.

Enhanced includes all Core features, plus:

  • High-dollar retrospective review for members who have accumulated claims over $100,000 during a 12-month period
  • Expanded targeting including polychronic conditions, high-risk pregnancy, high ER use, site of care outreach, future risk and other complex conditions
  • Enhanced reporting
  • Guaranteed engagement of 2% of the member population

 

 

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