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Fallon Health Chooses Casenet to Support its Coordinated Care Needs

 

posted on July 15 2014

 

 

Casenet TruCare Care Management Platform Selected to Support Innovative, Nationally Recognized Health Plan

 

Casenet, LLC, a leading provider of extensible care management solutions, today announced that Fallon Health has selected and successfully implemented Casenet® TruCare® to support its growing Massachusetts programs. Fallon Health has had a longstanding relationship with Casenet having implemented a Casenet custom care management system in 2007. Recently, Fallon Health chose to continue its partnership with Casenet and migrate to the TruCare 5.1 enterprise care management platform. Powered by TruCare’s performance and scalability, Fallon has enhanced its care management capabilities to better manage the unique healthcare needs of its members.

 

Fallon Health is a leader in delivering both commercial and government-sponsored solutions for businesses, municipalities, families and individuals. In addition to providing innovative health insurance and Medicaid and Medicare products, Fallon excels in unique health care programs and services that coordinate care for seniors and individuals with complex health needs. Fallon is the country’s #1 Medicaid HMO plan (NCQA’s Medicaid Health Insurance Plan Rankings, 2013-14). Fallon was one of the first HMOs in the country to provide insurance to Medicare beneficiaries, as well as the first health plan in America to offer a Program of All-inclusive Care for the Elderly.

 

“Our team is excited to be able to partner with Casenet for our care management solution. The TruCare platform’s unique capabilities allow us to meet the specific needs of our members who are dually eligible for Medicare and Medicaid in a consistent and efficient way. As we continue to expand, TruCare is flexible enough to grow with us as we grow,” said Sarika Aggarwal, MD, Executive Vice President and Chief Medical Officer, Fallon Health. “With TruCare, our team will be able to better navigate high-quality care for our members.”

 

When TruCare went live, Cindy Anderson, a member of the Fallon Health TruCare configuration team stated that, “TruCare is spreading happiness one nurse at a time.”

 

Casenet’s comprehensive suite of extensible, enterprise care management software and services enables improved care coordination, quality and delivery. The Casenet TruCare platform includes case, disease, utilization and home and community-based services management modules and intervention tools for total population management. TruCare’s highly client-configurable differential care management (DCM) foundation enables organizations to identify and target populations having unique risk characteristics and to deliver specific care management programs for those members. TruCare and DCM will assist Fallon Health in bridging the gap between the medical care that people require and the personal care that they want.

 

“We look forward to our continued collaboration with Fallon Health to help them better serve their members’ needs. With TruCare, Fallon Health will be able continue to provide quality-based, coordinated care at a reasonable price,” said Peter Masanotti, Casenet president and chief executive officer.

 

About Casenet, LLC

 

Casenet provides a comprehensive suite of extensible, enterprise care management software and services solutions for commercial, Medicaid, Medicare, TPA, provider/ACO and carveout organizations. These solutions enable our customers to improve care coordination and the quality and delivery of care through enhanced case, disease, utilization and home and community-based services management as well as tools for total population management. Casenet supports small to very large enterprise customers that require tremendous scalability, have many lines of business with benefits that are complex and complicated to administer, and require comprehensive configuration for each targeted member population. These solutions enable organizations to meet their unique requirements and adapt quickly to changing market and regulatory dynamics, identify and target populations having unique risk characteristics and deliver specific care management programs for those members — taking the first step toward better individual health and total population health management. For more information, visit http://www.casenetllc.com.

 

Casenet Media Contact:

Kelli L. Bravo, 781-357-2706, kbravo@casenetllc.com

 

About Fallon Health

 

Founded in 1977, Fallon Health is a leading care services organization that supports the diverse and changing needs of those they serve. In addition to providing innovative health insurance and Medicaid and Medicare products, Fallon excels in unique health care programs and services that coordinate care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurances for its HMO, MedicareAdvantage and Medicaid products. Visit http://www.fallonhealth.org for more information.

 

Fallon Health

Media Contact:

Carrie Wattu/Corporate Communications, 508-368-9345, Carrie.Wattu@fchp.org

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Phone: 781.357.2700

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