LOS ANGELES--(BUSINESS WIRE)--Clear Vision Information Systems announced today that it has entered into an agreement with Simply Healthcare Plans that will assist the Florida-based health plan better identify Medicare Advantage members with chronic conditions, improve patient care and enhance their members’ quality of life.
This will all be made possible through the use of Clear Vision’s RevenueMax, one of the healthcare industry’s most powerful and easy-to-use data-intelligence tools. With RevenueMax, Simply Healthcare Plans will be able to isolate members with chronic conditions that are missing assessments and pinpoint gaps in reporting and treatment. Such efforts have shown to lead to improved outcomes for the patient while optimizing revenue for the health plan.
“For Medicare Advantage health plans and medical groups nationwide, RevenueMax has proven to be integral to effective care management, finance and compliance,” said Tom Peterson, president and CEO of Clear Vision. “This turnkey tool helps ensure that all of a member’s chronic-care needs are being identified and properly addressed based on real-time data. And from a business perspective RevenueMax allows health plans and physicians to quickly and easily make the connection between services delivered and CMS revenue received.”
Identifying “gaps in care” involves understanding the needs and medical history of each member as well as looking for patterns that just don’t make sense. For example, most seniors live with two or more chronic conditions, such as hypertension, arthritis, heart disease, sleep apnea and diabetes. As such, the medical chart of an 80-year-old showing no chronic conditions may mean that this member has not been appropriately evaluated and treated. RevenueMax can assist in this effort.
Simply Healthcare Plans is a licensed Florida HMO established in 2010. Headquartered in Coral Gables, Florida, the plan provides access to comprehensive healthcare services for individuals enrolled in Medicaid and Medicare. Simply Healthcare Plans offers a Medicaid Plan, Medicaid Specialty Plan and a variety of Medicare Advantage plans with a large network of outstanding providers comprised of specialist and primary care physicians and most area hospitals. Simply Healthcare Plans’ growing service area includes the following Florida counties: Broward, Hernando, Hillsborough, Miami-Dade, Osceola, Pasco, Pinellas, Polk and Seminole. Further information may be obtained at www.simplyhealthcareplans.com.
Clear Vision Information Systems provides Medicare Advantage risk adjustment solutions and strategies to health plans and providers nationwide. Leveraging decades of experience at the forefront of Medicare policy, the Clear Vision team provides an integrated mix of risk adjustment analytics, continuity-of-care strategies, and compliance consulting tailored to the individual needs of each client. The “20/20 clarity” and easy-to-implement, high-impact tools Clear Vision brings results in revenue optimization and improved quality of care. For further information, visit www.cvinfosys.com.