Chinese Community Health Plan Implements DST Health Solutions' Integrated Care Management Solution to Improve Member Quality of Care
DST Delivers Disease Management, Risk Management, Improved Quality of Care and a Nurse Assist Line Within a Six-Month Timeframe
BIRMINGHAM, Ala., March 22, 2012 /PRNewswire/ -- DST Health Solutions, LLC, today announced implementation of their integrated CareAnalyzer and CareConnect applications at Chinese Community Health Plan (CCHP), a San Francisco-based health plan affiliated with Chinese Hospital. A new case study is available at dsthealthsolutions.com.
When CCHP determined their existing care management system was not meeting their needs, they knew they had to find a solution that could be implemented cost effectively. Their solution would also have to meet the state's requirement for a 24-hour Nurse Advice Line, and the lead time for the implementation was short.
CCHP chose DST Health Solutions' Care Analyzer and CareConnect, the foundations of DST's Integrated Care Management (ICM) suite of solutions, which is integrated in real time with CCHP's claims processing system. ICM identifies members most in need of care, allowing CCHP to intervene and provide enhanced care management; following up with systematic evaluations to ensure all members receive the proactive care they need.
"The real-time integration definitely adds value," says Larry Loo, CCHP's Director of Business Development and Operations. "The ICM Suite has given us the ability to identify at-risk populations, place those populations into an appropriate care management program, and develop planned interventions that focus on the best outcomes for our members. Real-time integration with our claims administrative system, DST's PowerMHC® system, allows our care management staff to perform their care management responsibilities utilizing the most current eligibility, provider, and benefit information available on a member. This helps us ensure a greater level of both member and provider satisfaction."
There was also the issue of timing. CCHP had a state-mandated deadline for the Nurse Advice Line, plus an internal deadline for getting the ICM solution up and running.
"DST's flexibility in providing this solution was also key to the success of the project," said Mark McAdoo, Vice President of DST's Care Management division. "DST implemented the ICM system in only six months, including the Nurse Advice Line, which alone required the development of special scripts and technology. By working closely with CCHP and using innovative approaches, we were able to bring the implementation to completion in just six months. We're very proud of both our and CCHP's teams for completing the project successfully."
About Chinese Community Health Plan
CCHP is the health plan subsidiary of Chinese Hospital in San Francisco. For nearly 25 years, CCHP has provided culturally competent and linguistically appropriate care to a community that is generally not served by the broader health insurance market. CCHP provides quality, affordable coverage for large and small employer groups, individual and families and people with Medicare. CCHP is contracted with Medicare to offer Medicare Advantage plans, including Part D. CCHP is open to everyone in San Francisco and Northern San Mateo Counties.
For more information, contact Larry Loo, Director of Business Development and Operations, at (415) 955-8800 or LLOO@cchphmo.com.
About DST Health Solutions
DST Health Solutions, LLC delivers systems and services that help improve efficiency, reduce operational costs, increase speed to market, and facilitate medical cost management and price containment. Our clients include commercial health plans, consumer-directed plans, government plans (Medicare Advantage, Medicare Part D and Medicaid) and physician practices. DST Health Solutions' enterprise applications and outsourcing services include claims processing, member and provider management, benefit plan management, new product development, care management and medical management, and decision support/analytics. DST Health Solutions is a wholly-owned subsidiary of DST Systems, Inc. For more information about DST Health Solutions, contact 800.272.4799, email email@example.com or visit www.dsthealthsolutions.com.
The information and comments above may include forward-looking statements respecting DST and its businesses. Such information and comments are based on DST's views as of today, and actual actions or results could differ. There could be a number of factors affecting future actions or results, including those set forth in DST's latest periodic financial report (Form 10-K or 10-Q) filed with the Securities and Exchange Commission. All such factors should be considered in evaluating any forward-looking comment. The Company will not update any forward-looking statements in this press release to reflect future events.
SOURCE DST Health Solutions, LLC
More by this Source
Browse our custom packages or build your own to meet your unique communications needs.
Learn about PR Newswire services
Request more information about PR Newswire products and services or call us at (888) 776-0942.