Insurance & FInance

Manage your clients, patients, and service providers more closely while monitoring and managing care around the patients. Measure payor models more closely, drive value-based care, and streamline care avoiding double billing and insurance fraud. Optimize patient-centered care, monitor and measure treatment plan management and care efficacy based on patient improvement.

Our PC-HNMS closes the gap in the rapidly advancing Critical Emerging Technologies in healthcare monitoring and AI-enabled models. We centralize healthcare services around the patient, in the decentralized healthcare setting. Our PC-HCNMS is interoperable with existing healthcare infrastructure and stand-alone without any existing healthcare infrastructure. A nexus streamlining information-of-flows for all caregivers around the patient, enhancing patient-centered care. Combining Internet of Things (IoT), and machine-to-machine (M2M) integration, with situational awareness as a single supportive intelligent platform for the healthcare system.

Intelligent personalized record management for the patient enables physicians to achieve greater access to their patients’ medical records. Physicians can receive alerts, based on patient condition and trends to signal necessary consultations - capturing illness occurrences before acute emergencies, enhancing chronic care management. Physicians can monitor patient conditions after medication adjustments, and treatment, collaborate with other treating physicians while hospitalized, improving treatment plan decisions. Physicians can closely monitor discharged patients, reducing risk of readmission, and complications post procedures. EMS integration with clinics and hospitals enables community paramedics to collaborate with physicians over an intelligent and interactive digital twin in real-time.

This includes integration and aggregation of PoC diagnostics, labs and health information providing real-time information-of-flows, enhancing discussion and understanding of the patient case, delivering data-driven patient diagnostics and treatment plan decisions, increasing the level of quality care delivered at the patient's home, improving patient health, meeting quality care metrics, reducing readmissions and improving the public health of the grater community.

risk mitigation

Service-wide health survey analysis, and risk mitigation can be implemented in coordination with more enhanced KPIs, system overview and intelligent monitoring systems. Implement data-driven premiums, and claims adjustments, improve QA/QI, fraud detection, and data-driven policy making with real-time feedback and field situational awareness. View metrics against care services, patient care, and improve care-at-home services.

fraud detection

Enhanced field-situational awareness and AI-assisted tools provides the ability to improve QA/QI, fraud detection, and data-driven policy making. Our PC-HNMS provides a system overview of all care service providers with their patients monitoring patient health and improvement based on treatment care decisions. Integrate pre-existing AI-fraud detection models and improve their efficacy.  

value-based care and innovative payor models

Enhanced patient monitoring systems and situational awareness technologies provides the ability to deploy chronic and acute care management and treatment to a larger number of patients. Data-driven patient diagnostics and treatment plan decisions, increases the level of quality care delivered at the patient's home, improving patient health, meeting quality care metrics, reducing readmissions and improving the public health of the grater community.

Get started

ai

Personalized AI-enabled medicine, and third- party AI-integration.

qa/qi

Compare patient improvement with care & treatment decisions.

roi

Data-driven simulated ROI and claim adjustments.

kpi's

Enhanced KPIs to ensure optimal care coordination delivery.