managed care MASTER

Contract Mapping

...

Managed Care Data Integrations

Seamless connections with EHRs, contracts, RX costs, and therapy at your fingertips.

Alerts

Receive alerts for the appropriate level of care for residents..

Calendar

......Need content

From Contract to Claim Without the Gaps

The success of managed care relies on effective management throughout a resident's stay, from admission to discharge.

Operationally sound case management systems, along with best practices and efficiency, are crucial for financial stability.

managed care MASTER offers automated workflows for case management, helping facilities capture missed reimbursements. It also analyzes and maps contracts, ensuring case managers are informed about all exclusions, carve-outs, and high-cost medications.

About managed care MASTER

Our Quality System is Ready to Help You!

The success of managed care relies on effective management throughout a resident's stay, from admission to discharge.

Operationally sound case management systems, along with best practices and efficiency, are crucial for financial stability.

Gain Efficiency
Enhance Resident Care
Increase Reimbursements

Single System

One login streamlines case management across multiple payers.

Clinical Updates

Complete concurrent reviews quickly.

Executive Reporting

Executive-level reporting for enterprise-wide visibility.

Increased productivity

Efficient, effective, and job satisfaction for case managers.

"With web-based data at our fingertips, we process updates during our morning meetings, which can save us up to 30 minutes per update."

– Managed Care VP, Symphony Post-Acute Network

"managed care MASTER has allowed for automation of repetitive tasks in case management such as data entry, scheduling, reporting and standardizing processes. The reduction of these time-consuming tasks allows case management nurses to practice at the top of their licensure. This in return produces a positive impact on the lives of Touchstones residents, gives visibility to our stewardship and allows us to be a preferred partner within the managed care industry."

– Sr. Director of Case Management, Touchstone

What is managed care MASTER, and who is it for?

managed care MASTER is a purpose-built platform designed to simplify, track, and optimize managed care contracts for skilled nursing facilities and long-term care providers.

How does managed care MASTER differ from traditional contract management systems?

Unlike generic solutions, our platform is tailored for post-acute providers, featuring real-time reimbursement modeling, rate libraries, authorization workflows, and integration with claims and census systems.

Can I track authorizations and payer requirements in real-time?

Yes. Our platform features tools to manage pre-authorizations, track policy changes, and ensure contract compliance.

Why do managed care contracts matter to providers?

For providers, managed care contract terms greatly affect key aspects of healthcare operations, including payment structures, daily practices, record-keeping, confidentiality, office organization, and clinical decision-making, all of which influence resident care quality.

What Is Managed Care? A Modern Guide for Providers

In the ever-evolving landscape of healthcare, "managed care" is a term often heard, but its full scope can...

View Details