States often experience gaps in developing a 360° view of their relationship and interactions with Providers. Delivering all pertinent information to the provider is necessary to improve provider satisfaction and enhance member involvement to achieve better outcomes.
EngagePoint Provider Management Solution is a holistic provider management solution built for Health and Human Services that aligns with the CMS vision on Modularity and can be leveraged as the blueprint for the Medicaid Enterprise Modernization for the future. Our solution allows you to know your provider better by giving the 360° view across various dimensions: PII, FTI, Ownership relationship, Certifications/Licensures, Credit Profile, Provider rating, etc.
The Provider Self-Serve Portal carries a universal citizen centric data model that has built in MDD. The portal is available for SaaS or on premise deployment while operating with a clear APIs to import data.
EngagePoint Provider Management is built upon our core foundational building blocks, contained in the EngagePoint Architect Suite and the EngagePoint Admin Suite.
Today, there is no Commercial Of The Shelf (COTS) Financial System purpose-built to support HHS specific financial processes. Custom-built or heavily customized private sector financial systems require significant investment and long term support to provide minimal financials functionality. The result is that providers and citizens experience deficiency in the clear view of payables and receivables across the enterprise.
EngagePoint Financial Management Solution is capable to support multiple programs, double entry accounting, “braided” funding, US GAAP guidelines and International Financial Reporting Standards (IFRS).
Our solution is built specifically for HHS and is available for SaaS or on premise deployment, operating with clear APIs available to import payment, accounts, funding sources and programs data.
The Financial module can be the first module that can be modernized and deployed if the State decides to improve HHS processes and embark on an MMIS modernization strategy using modularity. Our solution also supports cross-program financial requirements so as to become the common financial module across all programs and agencies.
EngagePoint Financial Management is built upon our core foundational building blocks, contained in the EngagePoint Architect Suite and the EngagePoint Admin Suite.
Citizen Cost Sharing systems often lack the citizen centric view of benefits and cost share. Adapting a citizen-centric approach enables the citizen to participate in the cost reduction of benefits and reduce the out of pocket expenses for the citizen with incentives.
Avoiding duplicative benefits will significantly reduce rising costs – with no compromising of the benefits to the citizen.
EngagePoint Cost Sharing Solution gives you a 360° view of a citizen and provides the Tiered Stacked Benefits view: PII, PHI, Clinical, FTI, Behavioral etc. Our solution’s “What If’ Analysis helps agencies evaluate impact of Tiered Benefits and changes to tiers. It shows all benefits and costs associated with them while providing recommendation on how the cost may be reduced for the citizen or the agency.
The products in our modular solution can flexibly interface with existing MDM, HIW and Eligibility management and Management systems to share citizen data, enabling you to provide the right benefit to the citizen at the right time.
EngagePoint Citizen Cost Sharing is built upon our core foundational building blocks, contained in the EngagePoint Architect Suite and the EngagePoint Admin Suite.
Many states still depend on outdated systems which carry no longitudinal view of the member data. Poor management of benefits plans, copay, health data, behavioral data, demographic information and FTI prevents citizen from finding the most information by self-service and increases the need and cost of support centers.
Providing all the pertinent information to the citizens empowers them to make better informed decisions, improves member enrollment and member satisfaction.
EngagePoint Member Management Solution gives you 360° view of the citizen across various dimensions: PII, PHI, Clinical, FTI, Behavioral etc. Through our Member Self-Serve Portal, citizen may request benefits, check eligibility, view claims or payment Information, file grievances or appeals and find best-fit providers.
The Member Self-Serve Portal carries a universal citizen centric data model that has built in MDD. The Portal is available for SaaS or on premise deployment while operating with clear APIs to import demographic, health and claims data.
EngagePoint Member Management is built upon our core foundational building blocks, contained in the EngagePoint Architect Suite and the EngagePoint Admin Suite.
Currently, many states still rely on paper-based enrollment. It obligates caseworkers and members to fill in multiple forms if they support multiple specialties or if members need services across many programs. Paper-based processes require greater human intervention, resulting in longer time of enrollment and consequential delay in benefit delivery to people in need.
The combination of budget constraints and rising customer service expectations demand states to modernize this critical citizen-facing function to provide immediate value.
EngagePoint Enrollment Management Solution is a web-based, multi-program, self-service application. While reducing enrollment time and case-worker’s need for intervention, our solution supports re-enrollment and re-certification. Its open architecture supports sharing data with Screening & Credentialing, Claims processing, Financial Management and Benefit Plan Administration systems.
Our solution is differentiated by the ability to deploy and configure Universal Enrollment in weeks versus months compared to competitive offerings.
EngagePoint Enrollment Management is built upon our core foundational building blocks, contained in the EngagePoint Architect Suite and the EngagePoint Admin Suite.
Leveraging our cross-program modular solutions, EngagePoint has built the only true modular program-specific applications for Health & Human Services.