Working with Medicaid members and healthcare providers.

Products & Services | State Government - Medicaid

Products & Services | State Government - Medicaid

Telligen works with Medicaid members and healthcare providers, helping members obtain the care they need and helping providers better measure and track their patients' progress.

Our services include:

Care Management - We work directly with Medicaid providers and individual members to assure they receive the right care at the right time, and can better manage their own health.

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Clinical Quality Improvement - Telligen provides Practice Facilitation expertise to help doctors and other healthcare providers increase the use of evidence-based clinical guidelines and improve the quality of care.

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Provider Profiling - Telligen's unique data collection and analytical capabilities allow Medicaid programs and members to compare the clinical performance of healthcare providers and help them improve the quality of care.

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Patient Centered Medical Home - Telligen provides a full array of ongoing clinical support and coaching to help primary care providers re-design systems of care to align with PCMH standards.

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Program Success - Telligen's current programs are making a difference with Medicaid members and healthcare providers.

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Utilization Management- Telligen's Utilization Management program determines whether healthcare services are medically necessary, delivered in the most appropriate clinical setting and meet professionally recognized standards of care.
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URAC - Medicaid - Health Utilization Management URAC - Medicaid - Disease Management