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ELIMINATE THE SPIRALING COSTS AND COMPLEXITY OF MULTIPLE FRAGMENTED SYSTEMS

With MedHOK, ONE PLATFORM gives you TOTAL CONTROL

IT'S ALL RIGHT HERE.

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REDUCE THE DIFFICULTY AND PAIN OF DELIVERING QUALITY-BASED OUTCOMES

MedHOK delivers everything you need to succeed in value-based healthcare.

UNIFIED PAYER PLATFORM.

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STREAMLINE DISCONNECTED AND INEFFICIENT WORKFLOWS

Only MedHOK encompasses the entire continuum of care across medical and pharmacy for all lines of business.

Complete SPECTRUM OF CARE.

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REDUCE TIME CONSUMING EFFORTS AND DATA DISPARITIES THAT INHIBIT COMPLIANCE ADHERENCE

MedHOK ensures compliance for more than 55 of the highest rated healthplans.

WORRY-FREE AUDITS.

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OVERCOME LIMITED MEMBER DATA AND MEMBER FRUSTRATION

MedHOK enables real-time access to members' complete medical and pharmacy history across the enterprise.

UNPARALLELED 360° MEMBER VIEW.

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IMPROVE CONTENTIOUS AND UNPRODUCTIVE INTERACTIONS WITH PROVIDERS

MedHOK helps build collaborative ecosystems of critical stakeholders that predicate quality outcomes.

STAKEHOLDER COLLABORATION.

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Watch our video and find out why MedHOK is trusted by over 50 of the nation's most successful healthcare organizations 

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One Platform. Total Control

UNIFIED PAYER PLATFORM

MedHOK understands the unique challenges that health plans and healthcare organizations face, because most of our team have been there. Driven to solve these challenges, MedHOK has developed the industry’s only Unified Payer Platform (UPP), which brings together all continuum of care applications across medical and pharmaceutical disciplines to enable all major lines of business. MedHOK built the Unified Payer Platform from the ground up, starting with a solid foundation of compliance, to consolidate dozens of disparate applications into a single platform, enabling automated workflows, simplifying processes, improving productivity, and ensuring compliance.

MedHOK’s Unified Payer Platform gives you total control, and provides a strong foundation for adapting to value-based healthcare, a payment model that requires a focus on the member, collaboration and communication with providers and business partners, meeting compliance demands, and a system that facilitates these initiatives in order to increase revenue.

Click the sections below or the graphic for an overview of each component.

> PLATFORM-WIDE FUNCTIONS

The following functionality comes standard as part of the Unified Payer Platform:

> MEDICAL/RX SPECTRUM OF CARE

MedHOK unifies medical and pharmaceutical member information into one platform, fueling automated workflows and creating a true 360-degree view of the Member. The Medical/Rx Care components encompass a full range of care management functionalities including:

Medical

Pharmacy

> MEMBER ENGAGEMENT

MedHOK’s Unified Payer Platform provides full-function member engagement through proactive functions such as Health Education and Outreach, as well as a range of responsive functions such as:

> PAY FOR QUALITY

Success in value-based healthcare is not only measured in Stars, but in overall regulatory compliance, member satisfaction, audit preparation, and revenue realization.  MedHOK enables Payers to become Five Star Success stories with Pay for Quality components including:

> STAKEHOLDER COLLABORATION

Collaboration and cooperation among all stakeholders is necessary in value-based healthcare. The MedHOK Unified Payer Platform enables healthcare payers to engage and build communities with members, providers, and business partners, with these functionalities:

> COMPLIANCE

MedHOK's Unified Payer Platform was built from the ground up with compliance as its foundation. With built-in rules and regulations, MedHOK is 100% out-of-the-box compliant with Medicare, Medicaid, Commercial and Exchange lines of business. Plus, because MedHOK is a Software as a Service (SaaS) application, compliance is proactively updated for perennial compliance adherence.

Ready to See MedHOK in Action?

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Why MedHOK:

One Platform

MedHOK’s Unified Payer Platform delivers everything you need to manage member care and quality, achieve compliance, and succeed in value-based healthcare.

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Spectrum of Care

MedHOK unifies member medical and pharmacy care throughout the continuum of care and across all lines of business, covering the entire spectrum of care.

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Member-Centric

Real-time access to complete medical and pharmacy care history, eligibility, demographics, provider info, and more from anywhere in the platform.

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Worry-Free Compliance

Perennially achieve federal and state compliance with confidence with MedHOK’s built-in and proactively updated compliance rules and automated workflows.
 

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COMMUNITY ENGAGEMENT

Build collaboration with stakeholders and critical business partners, incorporate industry data sources, and create ecosystems that enable better decision-making and compliance adherence.
 

SaaS Solution

The power of a single, secure, highly available SaaS platform allows you to simplify your systems and processes, reduce your costs, and expand with your needs.

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LATEST NEWS

LATEST BLOG POST

Thoughts on Universal Coverage from Across the Pond

By Marc Ryan

I am still vacationing in the United Kingdom for my daughter’s college graduation and coincidentally have been here during the 70th anniversary celebration of the National Health Service. 

As many of you know, the UK has a form of socialized medicine. Well, partially so. The federal government finances it from a tax on wages with employer contributions as well (looks a bit like the Social Security tax we have in America.) It runs great swathes of the care system, while also contracting with private entities or physicians.

Universal Healthcare
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NEWS & EVENTS

JUDGES PANEL ANNOUNCED FOR THE $100,000 HEARST HEALTH PRIZE

NEW YORK AND PHILADELPHIA, June 19, 2018 – Hearst Health, a division of Hearst, and the Jefferson College of Population Health at Thomas Jefferson University today announced the panel of judges for the 2019 Hearst Health Prize. This annual award is given in recognition of outstanding achievement in managing or improving health in the United States. The winner will be awarded $100,000 and up to two finalists each will receive $25,000. Submissions are now being accepted through August 9, 2018. Please visit www.jefferson.edu/HearstHealthPrize for details.

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UPCOMING EVENTS

User-Group

3rd Annual Optimizing Appeals & Grievances & Improving ODAG & CDAG Outcomes

Baltimore Marriott Inner Harbor at Camden Yards
Tuesday, June 19, 2018 - Thursday, June 21, 2018

Stop by our booth to learn how MedHOK clients can achieve a 30% improvement in staff efficiency by eliminating burdensome manual processes and replacing them with process automation and built-in compliance timelines.