Care Management and Population Health
Healthcare is dynamic and in transformational change, presenting an ongoing challenge for payers, consumers, and providers
Impresiv Health’s Clinical Services provides insight and guidance into best practices and productivity improvements to enhance operational results and quality results.
Our consulting practice is a powerhouse of nationally recognized physician advisors, experienced care management nurse clinicians, and healthcare operations experts. These industry thought leaders and clinical management specialists don’t just provide insights; they offer transformative solutions that improve clinical and financial outcomes.
They didn’t just provide a solution, they became a part of our team, understanding our unique needs, and aligning the technology perfectly with our business objectives.
-Home and Community Healthcare Service Provider in New York City
Client Success Story
Successful Implementation of ZeOmega’s Jiva Population Health Solution
Beyond strategic advice, Impresiv Health played a crucial role in bridging this client’s internal
knowledge gap of the ZeOmega Jiva platform.
Our resources ensured their requirements were effectively translated into the Jiva platform while fully implementing the solution in under five months.
Our Services
PROGRAM DESIGN & SUPPORT
Whether you require basic clinical support or an extensive organizational and clinical transformation, Impresiv Health offers consulting services to enhance operational efficiencies and productivity.
We help with:
• Program Descriptions
• Policy & Procedures
• Data Analysis for Risk Assessment
• Improved Engagement and Communication Strategies
• Identification of High Utilization Trends
• Design of Plan-Specific and Evidence-Based HRAs (Health Risk Assessments)
• Design of population-specific clinical guidelines
• Prior Authorization Optimization
• Data management strategy data to improve Star Ratings or HEDIS quality measure performance initiatives
CARE MANAGEMENT SOLUTION CONSULTING
Impresiv Health’s Care Management consultants have proven to be highly skilled, based on our clients’ results. Our team plays a significant role as facilitators and enablers between your software vendor and your organization during the implementation of a new CM solution. We bring best practices, proven methodologies, and decades of knowledge in care management systems and business to each of our clients.
How We Help
• Project Planning
• Requirements Gathering
• Configuration
• Correspondence Design
• Data Conversion
• Business Rules & Automation
• Content Development (HRA & Care Plans)
• Workflow Design
CARE TRANSFORMATION
Implement a clinical model scalable enough to meet the needs of commercial, Medicare, or Medicaid products and sustainable to exceed the ongoing regulatory requirements of CMS, NCQA, and URAC.
What We Do
• Solution Design & Implementation
• Design strategic roadmaps
• Align Implementations to key initiatives
• Employee Learning & Development
Predictive Modeling
• Execute Rapid Deployment Strategies
• Develop Appropriate Staffing Models
• Proactive member engagement strategies
• High-value and impactful reporting capabilities
• Ecosystem of SDOH Data – We examine the fundamental challenges health plans face when addressing the social determinants of health and solutions to overcome those barriers.
CLINICAL OUTSOURCING
If you need temporary staff or an outsourced care team as an extension of your own, Impresiv Health provides the flexibility, agility, and subject matter expertise to help our clients improve member outcomes and experiences while reducing the overall cost of care.
Our Specialty
• Medical Directors
• Clinical Executives
• Director Level Clinicians (UM, CM, Quality, A&G)
• Utilization Nurses
• Case Managers
• Social Workers
AUDIT & CERTIFICATION PREPAREDNESS
In preparation for audits, initial certifications, or recertification, we provide a cross-functional team of managed care experts to perform a readiness gap analysis and identify realistic, proactive remediation.
We Specialize In
• CMS Audits
• Accreditation Coaching
• Regulatory Management
• NCQA
• URAC
• Corrective Action Plan Evaluation
GOVERNMENT PROGRAMS
Our team consists of seasoned industry experts with extensive backgrounds in government and state-sponsored healthcare programs, including Medicare, Medicaid, Indian Health Services, and Federal Employee Programs.
We Specialize In
• Medicare, Medicaid, FEP Products
• State and Federal Contractor RFP Development
• Market Readiness Assessment
• Data Submission Support
• Corrective Action Plan Development
START THE CONVERSATION
Email our team to learn more about our professional services staffing and how we can support your business needs.