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NACHC + Pointcare: A Game-Changing Partnership for CHCs Read the Announcement »

Proactive Coverage Management

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Workflows that keep members covered at every stage

Each workflow catches members the previous one couldn’t reach

Work requirements Proactive outreach helps members meet work requirement deadlines and maintain active Medicaid coverage.   
Redeterminations/Renewals Multi-channel outreach helps members complete their annual Medicaid renewal before the deadline.   
Lapse Detection Multi-channel outreach helps members complete their annual Medicaid renewal before the deadline.  
Self-Pay Conversion Members uninsured for 3+ months or with eligibility changes are flagged and screened for coverage options.   
Retro Coverage

Self-pay visit data from the clinic is cross-referenced against retroactive coverage records. Identify which visits had retro coverage and can be billed for revenue the clinic would otherwise miss.

  

Let's Talk

See Pointcare in Action

You'll see Pointcare in action and learn:

  • How we support the identification of redetermination dates, find lapses, re-engage patients, and keep coverage on track — automatically.

  • How to transform your workflow from reactive to proactive.
  • Why AltaMed, CVHS, and 90+ other health centers manage 2M+ patients with Pointcare.