Medigence Health utilizes a technology platform that combines telehealth and in-home visits to conduct detailed social assessments and clinical evaluations for health plan members. This approach addresses the need for improved risk adjustment and quality of care by enhancing member engagement and optimizing chronic condition management.
Funding
Funding not disclosed
Founders
Product
Problem
Health plans often struggle to accurately assess member risk and ensure quality of care due to limited engagement and incomplete clinical evaluations. Traditional methods may not capture the full scope of a member's health status, hindering effective chronic condition management and appropriate risk adjustment.
Solution
Medigence Health offers a technology-driven platform that combines telehealth and in-home visits to conduct comprehensive social assessments and clinical evaluations for health plan members. By integrating these modalities, Medigence Health aims to improve member engagement, optimize chronic condition management, and enhance risk adjustment accuracy. The platform facilitates a personalized and compassionate approach to member care, representing health plans in a responsible manner.
Target Audience
The primary customers are health plans seeking to improve risk adjustment accuracy, enhance member engagement, and optimize chronic condition management.
Features
- TeleGence Assessments: HEDIS and Star Gap measures to optimize reimbursement and value-based payment potential.
- In-Home Visits: Designed to optimize chronic condition recapture rate and quality gap closure, leading to submission.
- Embedded Providers: Annual Wellness Visit (AWV) includes care-based questions that focus on emotional and mental health.
- Enhanced Clinical Services: Provider teams are trained to provide enhanced clinical services.
- Risk Adjustment Coding: Experienced and certified coders with a high degree of coding accuracy.