Two New CO-OPs Sign Agreement with Altruista Health for Care Management Solution

Published: Aug 22, 2013

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

August 23, 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 Community Health Alliance (CHA) and Consumers’ Choice Health Plan (CCHP) for their GuidingCare care management solution. CHA and CCHP, based in Tennessee and South Carolina respectively, are two of around 24 new health insurance CO-OPs scheduled to begin delivering benefits in January 2014. Both CO-OPs will leverage the GuidingCare platform and the expertise of Altruista Health to meet specific CMS requirements for improving outcomes and reducing avoidable costs.

“CHA, CCHP, and other newly-formed CO-OPs are member-driven organizations with mandates to facilitate cost-effective, patient-centric care,” said Ashish Kachru, CEO and co-founder of Altruista Health. “We are excited to partner with these organizations 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. 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 CO-OPs to effectively manage the health of their member populations.

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 www.altruistahealth.com.

About Community Health Alliance

Community Health Alliance is Tennessee’s health insurance Consumer Operated and Oriented Plan (CO-OP), created as part of the Affordable Care Act to encourage competition in the industry. The goal of Community Health Alliance is to serve individuals and businesses with high quality health insurance plans that offer more value and options. CHA will begin enrollment this October with an effective date of January 1, 2014. To learn more, visit www.chatn.org.

About Consumers’ Choice Health Plan

Consumers’ Choice Health Plan (CCHP) is a new health care coverage option for South Carolinians that will begin enrolling members October 1, with an effective coverage date of January 1, 2014. CCHP’s goal is to to provide high quality, affordable, consumer-friendly healthcare by promoting active participation with patients and their communities, and provider engagement in the coordination of care. To learn more, visit cchpsc.org.

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