Landacorp, A Carewise Health Affiliate

Landacorp, A Carewise Health Affiliate, has been creating software solutions for health plans and healthcare-delivery organizations for more than 25 years. Proven to perform in the largest user groups, the company's CareRadius Suite automatically identifies the right members for timely and cost-effective intervention; enables highly efficient collaboration among providers, members and health plans; and delivers clinical care tools that improve health and reduce costs.

CareRadius

The CareRadius suite is a collaborative care and health management solution for large health plans and health delivery organizations. CareRadius empowers health plans with proven software to link the care community through real-time information sharing between members, providers and health plans, along with clinical care tools, empowering better health decisions. This unique dual expertise delivers what health plans need to win in the marketplace; uniting powerful, proven technology and clinical care tools to improve health and reduce costs. With CareRadius Suite, everything clinical users need to help the member is consolidated, organized and at their fingertips, including a powerful tool to identify gaps in care and initiate care programs (CareFind) and communications with healthcare providers (CareAffiliate).

maxMC

Landacorp's maxMC is a comprehensive, integrated suite of medical and case management software for healthcare organizations and other entities that administer healthcare plans and payments to member populations. maxMC supports complex processes that include eligibility, authorizations, case and disease management, complaint and appeals management, and more.

maxMC provides substantial benefits that allow managed care organizations and other health care organizations to better manage their members across the continuum of care.

These benefits, along with faster care authorizations, increased productivity, and improved service and satisfaction are realized through:

• Improved workflow
• Enhanced intra-organization communication and coordination between provider and payer
• Enhanced data capture, management, and distribution
• Decision support/reporting tools

maxMC is comprised of a series of modules that specifically support the healthcare environment. It is typically licensed and deployed as the integrated medical management system it was designed to be, with the following core modules supporting member-centric activities:

• Care Coordination Center (Utilization Management and Physician Review)
• Case/Disease Management
• Appeals Management
• Contact Management
• Tool Kit Rules
• Tool Kit Report Writer
• Client Subsystem
• Targeted Medical Management
• Notes Templates
• Care Plan Builder
• Survey Builder
• User-Defined Windows
• Criteria Automation
• 278 X.12 Standard In/outbound Interfaces for:
  • Membership/eligibility
  • Providers