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Our QuickCap PACE Program Platform enhances your PACE and LIFE Programs with faster collaborations, streamlined processes, and better participant outcomes—all in one platform.
The PACE Program, also known as LIFE in Pennsylvania, provides comprehensive medical and social services to qualified elderly participants in the community. These participants are mostly eligible for both Medicare and Medicaid-covered services.
PACE and LIFE programs primarily focus on adult day health centers, supplemented with in-home and referral services tailored to meet each enrollee’s needs, with the goal of achieving
high-quality outcomes.
U.S. healthcare spending grew 7.5%
Projected older population by 2030
Number of participants across 300+ centers in 33 states and the District of Columbia
Elderly/disabled participants share of total Medicare and Medicaid spending
The typical range for PACE Program investments
Number of enrollees who are dually eligible for Medicare/Medicaid
Dually eligible PACE participants have at least three chronic conditions
The average
out-of-pocket
spending for
Medicare-only PACE participants
To keep up, PACE and LIFE organizations must meet comprehensive infrastructure standards that emphasize patient-centered, multidisciplinary care and robust financial management. Outdated software solutions simply don’t support the demands of a larger, aging participant pool, making modern, adaptable technology essential for continued success.
Don’t let ineffective PACE software slow down your success!
Our comprehensive solution empowers your PACE Program to modernize processes
throughout the continuum of care and create long-term value.
QuickCap empowers organizations to deliver
high-quality care to individuals with complex needs by streamlining the demanding administrative tasks of full professional risk-managed care contracts—all within a single,
easy-to-navigate, and comprehensive platform.
Our PACE management software provides compliance and accountability in care coordination, claims, and utilization management. It also offers integrated care and case management software and analytics for managing your Interdisciplinary Team (IDT).
As an integrated management system, you can use QuickCap’s PACE Program Platform to streamline your PACE and LIFE-related processes and experience the following benefits:
PACE Participant Enrollment
Expedite registrations and minimize eligibility denials with supreme accuracy.
Verify the eligibility of a health plan participant with great accuracy and speed while reducing denials and fraud.
Understand and address participant’s healthcare needs. Configure assessment questions for case management, annual health, and more.
Manage participants’ status through the risk adjustment factor (RAF) score dashboard
Quickly check the participant’s authorization and claim-related details. Fix and resolve eligibility discrepancies to complete the final validation successfully.
Efficiently manage all aspects of participant care, like benefit plans, provider contracts, and patient populations.
Collect provider and patient reports, health plan records, physician and hospital FFS claims, risk management agreements, and standard codes for end-to-end UM, QM, and claims processing to address your organization's comprehensive data needs.
Access clinical, financial, and operative data in real time to gain the collective insights you need to boost productivity while meeting value-based outcomes.
Leverage actionable analytics in identifying and providing care to high-risk members.
Provide effective, coordinated healthcare services through powerful, seamless inter-departmental work processes.
Our web-supported platform enables your team to bridge clinical information and communication gaps throughout your PACE Program, enabling better-informed care delivery.
Increase your PACE Program’s effectiveness in care management with knowledge-engineering networks designed to flawlessly incorporate technology and human resources.
Track and manage utilization of transportation, primary, specialty, and ancillary care services provided to PACE or LIFE members.
Achieve faster results today with greater flexibility for future growth, all while enhancing data exchange with relevant entities.
Oversee, analyze, and forecast financial movements based on updated health plan information.
Easily harness budgetary projections and quickly assess fiscal advantages through organized reports that track each claim’s process flow.
Define the specifics of provider reimbursement configuration. PACE Programs have flexibility in their downstream capitation and carve-out structures.
Manage claims, disputes, and appeals with an advanced automation technology that makes the adjudication process faster and more efficient and with accurate calculation.
Build and calculate capitation-based reimbursement structures with accessible reporting capabilities for monthly or yearly capitation and primary care physician (PCP) capitation checks.
Generate incurred but not reported (IBNR) reports for paid and unpaid claims containing due amount details to easily organize, track, and monitor medical bills and claims payments.
Leverage the highest industry standard payer platform and PHI protection
Utilize secure, proprietary, and embedded HIPAA-standard EDI formats to protect sensitive patient health information. Powerful encryption measures support your PACE Program with sustained defense against unwanted data breaches.
Complete the audit trail of all records and activities to comply with health plans and government agencies.
Guide your PACE Program through the whole healthcare process cycle for increased accuracy and efficiency.
Clinical Alerts
Coordinate clinical and administrative workflows through automated, recurring alerts to anticipate population health trends and mitigate risks for both participants and providers.
Referral and Claims Administration
Easily facilitate authorizations and claims data lifecycles from start to finish through a reliable AI-based adjudication system for a more seamless workload integration.
Case Management
Stratify risk and manage the health population through a dedicated case management tool with unlimited programs that can help produce participant data analysis and actionable insights to deliver improved health outcomes.
HEDIS
Build highly effective, quality, value-based healthcare management programs to improve HEDIS ratings and boost your PACE Program’s ranking. Easily integrate intuitive artificial intelligence networks for elevated participant engagement practices.
Empowering Our Clients to Infuse Quality into Elder Care
With QuickCap, we help PACE and LIFE Programs achieve their mission-driven goals in healthcare. From faster interdisciplinary team communications to personalized care delivery, our capabilities enable PACE and LIFE Programs to achieve unparalleled efficiency, transparency, and reliability at every stage of the participant journey.
Equip your care team for success with the all-inclusive QuickCap. Join us in the transition to streamlined care and experience seamless interoperability, participant engagement,
decision-making, and better participant outcomes.
SOC Certification Achievement
MedVision has successfully met the criteria outlined in the SOC (System and Organization Controls) audit for service organizations. This certification demonstrates MedVision’s adherence to rigorous standards for security, availability, processing integrity, confidentiality, and privacy.
As a service provider managing sensitive data and overseeing critical functions on behalf of clients, this certification underscores MedVision’s commitment to maintaining high standards of operational excellence and data security.
HITRUST Risk-Based 2-Year Certification Achiever
The Health Information Trust (HITRUST) is a standards organization dedicated to security, privacy, and risk management. They developed the HITRUST Common Security Framework (CSF), which assists organizations in maintaining a comprehensive and secure approach to HIPAA compliance and managing risks. HITRUST is widely recognized as the benchmark in data security and privacy.
Certified Member of HCAA
The Health Care Administrators Association is the nation's largest nonprofit trade association for third-party administrators, stop loss insurance carriers, managing general underwriters, audit firms, medical managers, technology organizations, pharmacy benefit managers, brokers/agents, human resource managers, and health care consultants. HCAA has spearheaded the change of self-funding for more than 35 years.
Awarded by CIO Review
CIOReview is a magazine that gives a comprehensive overview of the latest technologies on the market.
MedVision was featured as one of the most promising healthcare solutions providers.
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