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ELIMINATE THE SPIRALING COSTS AND COMPLEXITY OF MULTIPLE FRAGMENTED SYSTEMS

 

MedHOK provides you

ONE PLATFORM

that gives you

TOTAL CONTROL.

 

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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.

IT’S ALL RIGHT HERE.

 

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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 50 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?

Schedule a demo with one of our subject matter experts

Take a Tour

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

CMS Timeliness Monitoring To Challenge Plans

By Marc Ryan

time-600x379.jpgIf plans that just went through a Medicare program audit thought they could breathe a quick sigh of relief, they will need to think again. And plans that are expecting a program audit soon might just be in store for double the work.

Read More or Visit the Blog

NEWS & EVENTS

Press Release: ​Hearst Agrees to Acquire Majority Stake in MedHOK, Inc., a Leading Healthcare Software-as-a-Service Company

NEW YORK, June 13, 2016 – Hearst today announced it has agreed to acquire a majority stake in Tampa-based MedHOK, Inc., a leading provider of software-as-a-service (SaaS) solutions for health plans offered by insurance companies, health systems and companies that administer drug benefits.

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UPCOMING WEBINAR

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