Overview

 
Altruista Health offers reliable connectivity between health plans and their providers at the GuidingCare® Provider Hub. This centralized resource is a convenience to payers for managing provider-payer workflows and strengthening relationships. Current capabilities include:

  • Authorization Portal
  • Population Health Management

Authorization Portal provides electronic authorization capability, integrations with MCG Cite AutoAuth and InterQual Connect™ guidelines, and appeals and messaging related to Utilization Management. The Portal dramatically streamlines authorization processes, shrinks turnaround times and reduces administrative burden.

The Population Health Management capability offers robust web-based care coordination that was developed specifically for use by primary care providers, support services organizations and other key care provider partners. The system incorporates Altruista’s intuitive gaps-in-care analytics that allow clinical staff to identify high-risk patients and potential health improvement opportunities.

Our Solutions