Who We Support

Managed Care Organizations & Health Plans

Care management enables health plans to effectively manage members with complex issues across populations, organizations, geographies, and risk segments by coordinating their care and identifying and addressing medical, behavioral, and social determinants that impact each member’s cost of care. Health plans must coordinate those member services with hospitals, ambulatory providers, and community-based services and gain access to critical information in real-time.

GSI Health’s GSIHealthCoordinator platform provides a shared longitudinal view of members and populations that integrates up-to-date information from medical, behavioral, and social determinants of health. Structured assessments and universal care plans, comprising information from network and partner organizations, enable providers to personalize treatment plans and share the information immediately with the entire team. Robust analytics and risk stratification with real-time alerts enable identification of at-risk members for timely and appropriate interventions to reduce unnecessary admissions.

GSIHealthCoordinator Enables... Impact:

Care team collaboration with care managers from your team or partner organizations

Efficient coordination across medical, behavioral and social service settings to improve member health and reduce the total cost of care

Information transparency across the entire care team regardless of the setting

Improved transitions in care and reduced avoidable hospital usage, including ED visits and readmissions

Structured assessments integrated with a universal
care plan

Consistent identification of issues unique to each member, including barriers and member-specific issues and the interventions and care protocols that improve their health

Interoperability with HIEs used within your community and integration with your existing analytics, data warehouse, and internal tools

Real-time information sharing and insights from across the community, including clinical data to improve care planning, alerts from member encounters, and up-to-date comprehensive member summaries

Integration of claims and clinical data into care management and analytics tools

Access to real-time clinical information

Real-time alerts of inpatient admissions and ED visits.

Manage processes and measure performance using care coordination, clinical, and claims data

Risk stratification and identification of members for
care management

Identify at-risk members for avoidable hospital usage and intervention to promote ambulatory care, improve tracking of member issues, and promote adherence to best practices

Service tracking and reporting for care management, member outreach, and encounters

Flexible and comprehensive analysis and reporting enabling you to track the performance of your care teams, identify areas for improvement, ensure payments, and enforce reporting consistency and compliance