Care management for payors
Microsoft Cloud for Healthcare offers enhanced capabilities tailored to healthcare payors, aimed at elevating the care management experience. Payors can access advanced care management tools, empowering them to efficiently optimize the care provided to their members. Payors can use these advanced tools to track health trends and proactively intervene to improve health outcomes.
This comprehensive care management solution facilitates seamless coordination among healthcare providers, enabling effective care transitions and minimizing gaps in care. It includes the following key benefits:
- Personalized care delivery: Empower payors to deliver personalized, high-quality care by utilizing advanced care management capabilities.
- Enhanced member satisfaction: The tailored care management solution is designed to enhance member satisfaction by ensuring a seamless and personalized healthcare experience.
- Improved efficiency and cost-effectiveness: Drive improved efficiency and cost-effectiveness within the healthcare ecosystem by streamlining care management processes.
In addition to supporting existing care management capabilities, the updated payor experience also offers the following features for users:
- A new security role called Care Manager for enhanced access control and management within the care management system.
- Sitemap changes customized to align with use-cases specific to payors.
- Refined views and forms to reference individuals as Members.
- Refined views and forms to reference organizations and accounts as payors.
As an administrator, you can control the provider and payor experience for users. To learn more about the care management payor experience, go to Care management for payors.
Configure care management for payors
To tailor the care management experience for payors, update the settings as outlined in the following sections.
Configure security role
The updated payor experience introduces a new security role called Care Manager. This role grants access to specific forms and views relevant to payors.
Update terminology
For the Contact resource, we currently support the contact types "Patient", "Practitioner", and "Related Person". Based on your business needs, we recommend renaming the label Patient to Member for a suitable representation.
Set up views
Since the care management solution accommodates both providers and payors, it provides tailored views for both. Using the configuration section displayed in the following screenshot, you can select or remove the views that align with your user's requirements.
Configure sitemap for users
When you sign in to the care management app as a system administrator, you can see a sitemap that showcases both provider and payor experiences. Based on your user's business requirements, you can configure the sitemap to suit specific needs.
