Payers

Save

Who

We partner with Medicaid, Managed Care, Accountable Care, Medicare Advantage, PACE, Medicaid Waiver, Dual Eligible, and Commercial Insurance Organizations. Our team helps supplement and enhance case management efforts. Working closely with case management teams, we provide robust training, support, and member reporting. As part of all payer partnerships, we designate a team of Partner Engagement Managers to establish ROI and outcomes goals on the front-end, and we manage these milestones throughout.

Save

Why

We help payers reduce emergency department utilization, improve retention, boost satisfaction, and drive member engagement. We generate immediate ROI through more streamlined accessing of in-network member services. Also, by facilitating more effective preventive care with PCPs, we help control overall spend with key member populations. Our monitoring team of MSWs and BSWs become a true member advocate and ally, and by building strong rapport with every member we serve, we establish consistent program utilization.

Save

How

We engage in various shared savings and at-risk models with our partners. These models include full-risk options in many cases. In addition, many of our services are reimbursable under existing state Medicaid and Managed Medicaid programs with fixed monthly fee-for-service arrangements. In these cases we bring additional value to our partners via our enhanced service suite and member reporting. Every solution we deploy is centered on maximizing ROI and improving outcomes.

Save

What

We deploy customized push-button care and remote monitoring solutions. These solutions range from PERS to Telehealth. We build solutions around specific needs and member populations. We deploy disease state specific, as well as individualized monitoring protocols. Our team provides all program design implementation and training with zero capital investment required on the front end. On an ongoing basis, our team provides detailed macro and micro level reporting, which is built into the monthly investment or shared savings model.

Engagement: Increased member engagement by 42% for a regional health plan’s telehealth program

“The success of the AFHCP’s nationally recognized home health monitoring program could not have been possible without Critical Signal Technologies.”

- Executive Director, Health Plan