Pega Care Management
Pega Care Management revolutionizes patient care by integrating managed care best practices with real-time data access. It facilitates personalized care planning, enabling care teams to effectively manage patient needs across various settings. With embedded GenAI coaching and seamless integration with clinical guidelines, it enhances operational efficiency and promotes better health outcomes.
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Top Pega Care Management Features
- Real-time connected data access
- Personalized care planning
- Unified process management
- Integrated population health programs
- Advanced AI for next best action
- Certified integrations with healthcare standards
- Automated appeals and grievances management
- Customizable reporting for business users
- Direct integration with Customer Decision Hub
- Actionable internet of medical devices alerts
- Simplified educational materials distribution
- HEDIS and Star score optimization
- Secure Pega Cloud Services
- Comprehensive patient profiles access
- Managed care best practices application
- Collaborative care team coordination
- Streamlined claims and authorizations processing
- Enhanced operational excellence insights
- Embedded GenAI coaching features
- Continuous healthcare transformation solutions.
