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Dual Health Plan Program

A Multi-Plan Approach

Dual Health Plan Eligibility

Dual eligible beneficiaries require a lot of hands-on work and advanced information technology (IT) support. After all, integrating complex benefits without the right tools can lead to more manual interventions and longer turnaround time. Additionally, members enrolled in both Medicare and Medicaid programs generally have more sophisticated medical needs that can lead to higher healthcare expenses. With this in mind, the primary goal is to mitigate member healthcare utilizations through effective eligibility management.

Smooth Integration

Dual Health Plan Eligibility Compatible

Effective integration and management of dual eligible beneficiaries can improve care coordination, align incentives, and enhance administrative outcomes. With QuickCap 7, you have complete oversight over member benefits so you can easily pinpoint and manage unique coverage requirements with ease. Additionally, QuickCap can streamline your workflow with features like configurable pricing options and easy-to-use benefit coordination systems.

Dual eligible beneficiaries can add up and account for a high percentage of Medicaid expenses. That’s why it’s important to have a system that’s dual eligibility compatible and is configurable enough to suit your operational needs. And with QuickCap, you have exactly that and more.

Simplify Dual Eligibility Management

With QuickCap, you can utilize dozens of features to streamline your dual eligibility management. In fact, here are some of the advantages that you can expect with QuickCap:

Easily store and link essential member information to health plans and benefit coverages so you can set up benefit plans and financial deductibles with ease.

Freely configure crucial payment calculations such as out-of-pocket, co-pay, coinsurance, deductibles to name a few.

Ensure accurate results with QuickCap’s eligibility validation features that systematically determine a member’s eligibility.

Customize benefit rules and other eligibility parameters to suit your operational needs so you can easily integrate rules with utilization management, claims management, and other processes in your system.

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Connected Healthcare

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.