Managed Care

• Human Services
• Healthcare
• Managed Care
• Acute Care Organizations (Hospitals)

Serving MCOs, HMOs, PPOs, PHOs and other managed care organizations, Q Continuum System provides case management professionals with the tools they need to effectively manage the processes of patient care, diagnosis, and referral.

Q Continuum System has features and functions designed specifically to exceed the needs of the rapidly growing managed care industry. Working closely with leading managed care organizations, Q Continuum has been designed to encapsulate care management best practices – ensuring that payer organizations know which patients truly need case management services, when and by whom.
Leading managed care organizations use Q Continuum System to:

• Perform comprehensive health assessments
• Manage chronic diseases, such as:
  • Diabetes
  • COPD
  • CHF
  • HIV
• Improve Utilization Management (UM) / Utilization Review (UR)
  • Medical authorizations
  • Track cost variances
  • Track cost interventions
• Proactively generate optimal care plans
• Use predictive modeling to identify likely high-risk patients
• And much more

Q Continuum System’s predictive modeling application analyzes patient demographic data and diagnosis and procedure codes to proactively identify high-risk patients and generate care plans to achieve the desired objectives, goals and health outcomes.

To learn more about Q Continuum System, please contact us, or request an online demonstration.