Resources

Former CMS Leader Brings In-depth Medicare and Medicaid Expertise

It’s a new day for Medicare Advantage as CMS recently announced it will expand the definition of “supplemental benefits” for MA plans in 2019. What does this mean for beneficiaries and how can your plan benefit?

Find out what NCQA has in store for the 2019 HEDIS® measures with changes addressing emerging health priorities including the opioid crisis, telehealth and immunizations.

Altruista Health CEO, Ashish Kachru was featured as the Member Spotlight in this month's Young Presidents' Organization (YPO) Healthcare Industry Network Newsletter.

The GuidingCare® platform has an embedded best-in-class rules engine that streamlines operations by automating business processes and workflows.

Coordinated workflow to deliver better health outcomes, less risk and lower costs.

The GuidingCare® Mobile Clinician application allows users to perform care management functions with Windows and iOS devices.

The Member Engagement portal empowers consumers to become active participants in improving their own health and wellness. The portal seamlessly integrates data with other GuidingCare® modules, so members and caregivers can share relevant information, coordinate activities and communicate quickly and intuitively with their care teams.

Altruista Health’s GuidingCare® platform offers health plans and providers easy-to-use, next-generation data integration and workflow management tools.

GuidingSigns® Analytics is a clinical decision support system integrated into the GuidingCare® platform for the transformation of data into actionable insights.

The Utilization Management module is a key component of the GuidingCare® platform and supports the entire authorization life cycle – from request and review, to status determination, to correspondence with members and providers. The Appeals & Grievances module streamlines and consolidates the entire appeals management process to help you meet regulatory demands for timely resolution and correspondence.

The GuidingCare® Population Health Management module is a robust, web-based care coordination tool developed specifically for use by primary care providers, delegated care services organizations and other key care provider partners.

Ashish Kachru, Altruista Health’s, CEO has been named one of the Top 10 Emerging Healthcare Industry Leaders by Managed Healthcare Executive.

Altruista Health’s India operations have moved to a new location in the Hyderabad Financial District SEZ in the new GAR Laxmi Infobahn building.

Altruista Health & will partner with Halfpenny Technologies, a leading provider in meaningful clinical data exchange, to improve quality and drive down care management costs for health plans

Learn how payers are responding to SDOH in this special report.

This webinar focuses on predictive analytics and new innovations emerging including artificial intelligence and machine learning.

Explore how medication management is a critical part of reducing avoidable hospitalizations.

Altruista Health has moved to a new corporate headquarters in Reston, Virginia to support explosive growth.

This webinar highlights a framework for collaboration between health plans and nursing facilities which addresses avoidable inpatient admissions and other clinical outcomes of importance.