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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?

Schedule a demo with one of our subject matter experts

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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

Can Trump Undertake Medicaid Overhaul Without Changing the Law?

By Marc Ryan

Questioning-01.jpgWith healthcare reform changes dead on Capitol Hill for now, many are asking: Can the President essentially do Medicaid reform on his own using executive authority? The sheer mention of such sends shutters down the backs of advocates’ spines.

The short answer is Yes and No. And you know this blogger is never short, so here is the rather lengthy explanation.

Read More or Visit the Blog

NEWS & EVENTS

MedHOK Features One-Platform Solution for Payers at CAHP

CAHP sponsor MedHOK offers health plans a single, member-centric solution to manage multiple functions.CAHP logo.png

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UPCOMING WEBINAR

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Solving Emerging Enrollment Compliance Challenges.

Ensure effective and compliant enrollment efforts without the complexity and pain.

As enrollment functions are increasingly being targeted by regulatory agencies, the need to be compliant with emerging requirements while balancing improved efficiency and effectiveness of enrollment efforts is critical to health plan success. Learn how to stay in front of emerging compliance requirements and drive greater success from your enrollment efforts.

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