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.
The following functionality comes standard as part of the Unified Payer Platform:
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:
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:
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:
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:
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.
By Marc Ryan
In the past, this blog has made the case that universal health coverage means not only a healthier nation but one that is far more prosperous and growth-oriented. The Economist magazine, this blogger’s favorite magazine for almost 40 years now, has again made an extremely compelling case for coverage for all. Included here are the links to their Leaders opinion piece entitled, “Universal healthcare, worldwide, is within reach,” as well as an abbreviated web version of their 10-page Special Report. Here are some salient points:
$100,000 Awarded To Winner, $25,000 To Finalists For Programs That Improve Health
NEW YORK AND PHILADELPHIA, May 2, 2018 – Hearst Health, a division of Hearst, and the Jefferson College of Population Health, part of Jefferson University, today announced the call for submissions is open for the 2019 Hearst Health Prize, the annual $100,000 award given in recognition of outstanding achievement in managing or improving health in the U.S. In addition, up to two finalists will each receive $25,000.
June 4-7, 2018 | St. Petersburg, FL
Join fellow MedHOK and MarketProminence (MP) users in St. Petersburg, Florida June 4-7 for an insightful two days of presentations and breakout sessions covering pressing challenges facing our industry today. Engage with fellow users and share best practices for platform optimization.
Boston Convention and Exhibition Center
April 23-26, 2018