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