Published: Apr 09, 2013

New Consumer-Oriented and Operated Plan Selects Leading Care Management Provider to Help Meet CMS Requirements for Improving Outcomes, Reducing Avoidable Costs 

 

April 9, 2013 – Reston, VA – Altruista Health, Inc., an innovative provider of care and disease management technology for health plans, providers and coordinated care organizations, announces that they have signed an agreement with HealthyCT, a Connecticut-based Consumer Operated and Oriented Plan (CO-OP), to implement Altruista’s GuidingCare care management solution. As one of about 24 new health insurance CO-OPs scheduled to begin delivering benefits in January 2014, HealthyCT will leverage the GuidingCare platform and the expertise of Altruista Health, to meet specific CMS requirements for improving outcomes and reducing avoidable costs.

“HealthyCT and other newly-formed CO-OPs are member-driven organizations with a mandate to facilitate cost-effective, patient-centric care,” said Ashish Kachru, CEO and co-founder of Altruista Health. “We are excited to partner with HealthyCT and provide them with not only a world-class technology platform, but with operational guidance to help them achieve key milestones.”

GuidingCare is a patient-centric, Web-based care management system developed specifically for risk bearing organizations such as Health Plans (including Long Term Care plans) and Accountable Care Organizations etc.   GuidingCare includes several modules that support CMS requirements for improving outcomes and reducing costs, including predictive modeling, gaps-in-care analytics, care management, utilization management, appeals & grievances management and role-based portals for providers and member services teams. Additionally, GuidingCare integrates a broad range of clinical content such as health risk assessments, condition assessments, transition of care assessments as well as integrated care plans, enabling HealthyCT to effectively manage the health of their member population.

“From the moment HealthyCT received CMS approval and funding, we have made it a priority to identify and implement a medical management platform that supports our patient-centered medical home model,” said Maryann Gaynor of HealthyCT. “In Altruista Health, we have found a partner with the proven care management technology, integrated clinical content and health plan population expertise to effectively engage our members and physicians and enable better health outcomes for our members.”

About Altruista Health

Altruista Health, Inc. provides patient-centric and customizable population care management solutions for health plans and providers. We develop and deliver software tools, data analytics and support services that help streamline clinical and administrative processes, improve patient outcomes and reduce avoidable healthcare costs. Altruista Health clients include commercial and government health payers, health systems and care management organizations. For more information, visit http://altruistahealth.com.

About HealthyCT

HealthyCT is a Consumer Operated and Oriented Plan (CO-OP). CO-OPs like HealthyCT are under development in many states across the country and all have received their initial funding  from the federal government as part of healthcare reform. A CO-OP is a member-run, not-for-profit organization that provides individuals, families and small businesses with comprehensive, quality healthcare coverage at fair, consistent rates. As a member-driven non-profit, our mission is to provide Connecticut residents with comprehensive health insurance and easy access to quality healthcare. We’re committed to developing an innovative, progressive health plan that ensures delivering patient-centered care for individuals, families and small businesses. We’ll begin offering commercial insurance products on October 1, 2013 with benefits becoming effective January 1, 2014. To learn more visit www.healthyct.org