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USMD's Payer Solutions group is dedicated to creating value for health plans and public or private payers with technology and services that improve quality and reduce costs.

Through our proprietary technology and condition management programs, we move beyond traditional, call-center based medical management to replace or enhance existing Case Management and Disease Management programs.

The result is a network of technology-savvy physicians who are experts in treating chronic conditions.

Welcome to the next generation of medical management
  • Overview
  • Benefits
  • Features

Empowering the patient and provider:

  • Enhanced data gathering and analysis for the payer
  • Increased member satisfaction
  • Increased provider satisfaction
  • Improved quality
  • Adherence to Standards of Care
  • Reduced Medical Loss Ratio
  • Automated HEDIS and P4P tracking

More …

  • USMD will guarantee at least a 1:1 Return on Investment
  • Automated tracking on Pay-for-Performance measures
  • Extensive reporting
  • Automated tracking of HEDIS measures
  • Enhanced data gathering and analysis for the payer
  • Increased member satisfaction
  • Increased provider satisfaction
  • Improved quality
  • Adherence to Standards of Care
  • Reduced Medical Loss Ratio

More …

USMD will deploy technology to practices seeing a significant number of the plan's members, with a focus on those patients that have chronic conditions. This technology includes:

  • Practice Management — for efficient scheduling, follow-up tracking and billing.
  • Electronic Health Record — CCHIT certified, complete with e-prescribing, lab interface, document and image management.
  • Chronic Care Module — proprietary USMD technology utilized for tracking standards of care for chronic conditions and alerting physicians and staff to deviations.
  • Personal Health Record — for members to view, record and input on their health records.
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