Population health management solutions
Empower your healthcare teams with data-driven clinical insights and seamless collaboration on a unified managed care and population health management platform.
Transform your Approach to Managed Care with ACUITYnxt™
KEY FEATURES
POPULATION HEALTH ANALYTICS
Use predictive analytics to identify at-risk populations and manage chronic conditions proactively. Expedite processes and easily generate reports to assess the health status of populations and individuals, allowing strategic allocation of resources and enhanced communications.
UTILIZATION MANAGEMENT
Go beyond simple pre-authorization approvals and denials. ACUITYnxt’s healthcare utilization management solution creates an auditable activity trail showing who accessed records, authorized treatments, or approved authorizations.
CASE AND CARE MANAGEMENT
Manual case management processes can be time-consuming and error prone. ACUITYnxt’s workflows automate these processes, reducing administrative overhead and freeing staff to focus on more critical tasks.
APPEALS AND GRIEVANCES
Effortlessly oversee appeals and grievances for authorizations, providers, cases, claims, and more. ACUITYnxt’s authorization management provides comprehensive tracking, timely notifications, and auto tasking while ensuring compliance with all regulatory requirements.
CLINICAL PROGRAM SUPPORT
Enhance specialty care programs like diabetes management, and maternal health with customized, data-driven insights. Streamline program planning, assessments, and personalized care plans.
QUALITY AND RISK MANAGEMENT
ACUITYnxt uses stratification and automation to analyze member data, identify specific groups for targeted care, and prioritize them for care coordination and risk management.
Easy-to-Use and Scalable.
ACUITYnxt’s intuitive, modular platform enables you to select components that align with your organization's specific business needs. This flexibility and scalability allow for seamless integration of additional components as your business evolves.
ACUITYnxt Ecosystem
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VISUALIZATION
Intuitive user interface
Personalized user views
Team based work queues
Ad hoc data filtering and exports
Comprehensive library of reports and dashboards
Interactive charts, graphs, and data visualization
Drill-down capabilities from summary to detailed records
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SYSTEM ADMINISTRATION
Intuitive Drag and Drop Configuration
Reusable and archivable screen templates
Multi-record editing for efficient updates
Robust role-based security
Embedded Administration Guide with detailed documentation
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AUTOMATION
Powerful business rules engine to prioritize work
Intelligent workflow automation for consistent processes
Automatic event and/or time-based escalations
Configurable task or next action routing and work assignment (Round Robin)
Trigger-based workflows across the modules
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EASE OF USE
Clinician designed, intuitive user experience
Flexible workflows that adapt to your organization
Minimal training required with intuitive navigation (“Look for an orange button”)
Personalized user preferences and saved settings
Embedded End User Guide with searchable help content
Consistent navigation across all modules
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BUSINESS OUTCOMES
Reduce administrative burden and manual processes
Improve member health outcomes and quality of care
Increase care manager productivity
Streamline Utilization Management workflows
Strengthen audit readiness
Support CMS, NCQA, and URAC compliance
Consolidate multiple point solutions into one platform
