Client Solutions

Brokers and Consultants

Brokers and Consultants

As a broker, you want solutions for your clients that provide their members with the quality of care they need and cost-containment strategies for long-term sustainability. Telligen will equip members with the knowledge and resources necessary to better understand their health and healthcare options to reduce costs, obtain better outcomes and improve the cost-effectiveness of care.

We offer a full range of customizable solutions including:

  • Utilization Management
  • Case Management
  • Disease Management
  • Diabetes Prevention
  • Maternity Management
  • Wellness

Learn More About Our Care Management Solutions

Brokers and Consultants

Utilization Management

Looking to promote quality of care and eliminate unnecessary services, while maximizing your client’s healthcare dollars? Our team of highly skilled nurses focus on helping members understand their plan and options they have for receiving high quality, affordable care.

Case Management

Our program is designed as a collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services. We work with physicians and family members to help achieve the members’ goals to bring about better outcomes.

Specialty Programs

Specific trends in data may indicate the need for specialized programs. Depending on the need these programs can include; oncology management, transplant management, end-stage renal disease, care transitions and emergency department program.

Disease Management

We have advanced predictive modeling tools to help identify individuals who would benefit from our programs. Our nurse health coaches build relationships with members, coordinate healthcare treatments, and engage providers on evidence-based practices to encourage their members’ progress.

Diabetes Prevention Program

In partnership with the American Diabetes Association, we offer the DPP, an expert-led 52-week program based on the groundbreaking NIH study that showed a comprehensive behavioral weight loss program can help people prevent diabetes even more effectively than medication.

Maternity Management

We focus on the care needs of maternity members through ongoing assessment, collaboration, support and care planning. Our goals include promoting the length of the gestational period and improved outcomes for newborns.

Wellness

Our comprehensive wellness solutions will engage members to help the healthy stay healthy, while delivering programs and interventions to help others improve their health. We provide member engagement strategies, an online wellness portal, and, most importantly, results.

Employers

Telligen equips your employees and their families with the knowledge and resources necessary to better understand their health and healthcare options to reduce costs, obtain better outcomes and improve the cost-effectiveness of care.

We offer a full range of customizable solutions including:

  • Utilization Management
  • Case Management
  • Disease Management
  • Diabetes Prevention
  • Maternity Management
  • Wellness

Learn More About Our Care Management Solutions

Employers

Employers

Utilization Management

Our team of highly skilled nurses focus on helping your employees understand their plan and options they have for receiving high quality, affordable care.

Case Management

We collaborate and coordinate with physicians, your employees, and family members to help achieve the members’ goals to bring about better outcomes.

Specialty Programs

Need something different? We can tailor a program to fit your needs. Programs can include oncology management, transplant management, end stage renal disease, care transitions and emergency department program.

Disease Management

We have tools that can identify individuals who could benefit from our programs. Our nurse health coaches will work with your employees to coordinate treatments with healthcare providers and monitor their progress

Diabetes Prevention Program

In partnership with the American Diabetes Association, we offer the DPP, an expert-led 52-week program based on the groundbreaking NIH study that showed a comprehensive behavioral weight loss program can help people prevent diabetes even more effectively than medication.

Maternity Management

We focus on the care and needs of your employees needing maternity care. We promote the length of the gestational period and improved outcomes for newborns.

Wellness

We have solutions that will engage your employees to help the healthy stay healthy. We also have programs and tools to help others improve their health.

Providers

Providers

Our proven consulting methods and state-of-the-art tools ensure your expectations are met. This helps you meet your patient and stakeholder expectations.

Our healthcare consulting team helps providers transform their practice by improving quality and processes, leveraging data analytics and healthcare IT systems, and thrive in a value-based purchasing environment. Our healthcare consulting services include:

  • Practice Transformation
  • Quality Improvement
  • Practice Facilitation
  • Web-Based Patient Registry
  • EHR and Meaningful Use
  • Patient Centered Medical Home
  • Population Health Management

Learn More About Our Healthcare Consulting

Providers

Practice Transformation Consulting

The healthcare environment is quickly shifting to a pay for quality system. Is your practice considering ACO participation or a risk sharing arrangement in the near future? We help practices at all levels of readiness progress through five phases of transformation: establishing goals, using data to improve care, achieving improvement results, achieving benchmarks and thriving in a value based purchasing environment.

Clinical Quality Improvement

Our consulting tools equip you with the ability to help analyze data to redesign patient care processes and implement best practices to effectively manage the health of your patient population.

Practice Facilitation

Through intensive onsite support to primary care practices, we help to redesign clinical processes and improve clinical outcomes for individual patients and the overall population of patients served by the practice.

Web-Based Patient Registry

CareMeasures™, Telligen’s patient registry, fills the quality measurement gap that electronic health records leave behind. The registry serves as a tool for performance measurement and quality improvement within the practice while incorporating evidence-based clinical guidelines.

EHR and Meaningful Use Consulting

EHR advisors work with the physician team, from initial assessment to post-implementation and achievement of Meaningful Use, so that you will quality for incentive payments from CMS and Medicaid agencies.

Patient Centered Medical Home Consulting

The Patient Centered Medical Home model is an effective building block for practice transformation or ACO readiness. As your trusted advisors, our NCQA-certified PCMH Content Experts guide your clinic through the various change phases and required elements to prepare for PCMH recognition or move to the next level.

Population Health Management Consulting

Our customizable solutions for population health management address provider engagement, patient engagement and IT components. With proven results in the field and highly credentialed staff, we offer options to fit all size practices and budgets.

State Government

In this changing healthcare environment, government programs are emphasizing care that gets results — reduced readmissions, improved outcomes, decreased errors — to improve patient experience and population health. Telligen provides state agencies innovative data analytics and healthcare IT solutions that measure the value and effectiveness of care.

Our state government solutions include:

  • Care Management / Care Coordination
  • Utilization Management
  • Provider Profiling
  • Healthcare Quality Improvement
  • Patient Centered Medical Home
  • Home and Community Based Services
  • Core Standardized Assessments

Learn More About Our State Government Solutions.

State Government

State Government

Disease Management

We help Medicaid members manage chronic conditions by providing the resources, education and tools for members to reach their health goals while reducing the use of unnecessary emergency services.

Care Coordination

We help coordinate service delivery for Medicaid members by assessing each member’s unique healthcare situation and eliminating duplication while ensuring all necessary services are provided.

Utilization Management

Our programs for inpatient, outpatient and behavioral health services provide efficient healthcare delivery for Medicaid members by analyzing components such as medical necessity, quality of care and appropriateness of facility and length of stay.

Provider Profiling

We use data collection and analytical capabilities to identify and prioritize improvement efforts and improve outcomes for individual providers, practices and state Medicaid programs.

Patient Centered Medical Home

Our Medical Home program helps primary care practices improve the quality of care for their patients through workflow redesign of clinical and administrative processes. This also includes technical assistance to select and deploy electronic health records and reach meaningful use status.

Clinical Quality Improvement

Our practice facilitation provides onsite support to primary care practices for redesign of clinical processes and improvement in clinical outcomes. Technical assistance is also provided for claims and clinical records review, assessment of care processes and implementation of ongoing performance measurement.

Home and Community Based Services

We help states increase access to HCBS while improving service delivery, managing costs and maintaining beneficiary protections and autonomy.

Core Standardized Assessments for Balancing Incentive Programs

Let us help you realize a well-designed assessment process that promotes choice and equity in services, meets state-specific guidelines and reduces administrative burden.

Federal Government

Federal Government

Our expertise in quality improvement, data analytics and healthcare information technology sets us apart in the federal contracting space. We provide innovative and repeatable solutions that support programs of national importance, including multiple Medicare programs that measure quality and cost-effectiveness.

Our federal government solutions include:

  • Clinical Quality Measure Development
  • Transparency in Government
  • Custom HIT Solutions
  • GSA Schedules
  • Pay-for-Performance
  • Interoperability Standards
  • Quality Improvement Organization
  • Quality Innovation Network-National Coordinating Center
  • Healthy Hearts in the Heartland (H3)

Learn More About Our Federal Government Solutions

Federal Government

Clinical Quality Measure Development and Implementation Support

The Centers for Medicare and Medicaid Services depend on us to define, collect, and measure the value (cost and quality) of healthcare services. We support the implementation of clinical quality measures across the healthcare continuum.

Pay-for-Performance

We were the first to design and implement a program offering incentive payments to healthcare providers reporting quality data for their patients.

Transparency in Government

Our team of experts established websites providing the public the opportunity to compare clinical quality of every hospital and nursing home in the U.S.

Interoperability Standards

We educate and inform the healthcare community about ways to improve healthcare through the exchange of data.

Custom HIT Solutions

Our comprehensive health information technology solutions help our federal partners fulfill their mission to improve healthcare.

Quality Innovation Network-Quality Improvement Organization

As the QIN-QIO for Iowa, Illinois and Colorado, we help CMS to improve the quality of healthcare and protect the rights of Medicare beneficiaries. Visit the Telligen QIN-QIO website for more information.

GSA Schedules

We offer services as a prime (and/or sub) to federal, state and local government customers through contract vehicles such as MOBIS, CIO-SP3, DHA TEAMS, VA T CMS MIDS, CMS RMADA, CMS SBRAD, CMS Data Management IDIQ, Program Support Center (PSC) IDIQ and AHRQ NRC .

Quality Innovation Network-National Coordinating Center

We provide technical and support services to a network of 14 QIN-QIOs. If you are a QIN-QIO, visit www.healthcarecommunities.org for tools, resources and other reference materials. For access instructions, click here.

 

 

 

Healthy Hearts in the Heartland (H3)

The Agency for Healthcare Research and Quality has awarded a $15 million grant to establish a multidisciplinary consortium in the Midwest focused on quality improvement and the prevention of strokes and heart attacks. The consortium, known as Healthy Hearts in the Heartland (H3), will support 300 independent clinics and healthcare centers in Illinois, Indiana and Wisconsin as they adopt new strategies to improve cardiovascular health in the population. Click here for more information.

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