HEALTH PLANS
Coastal’ s leadership team has over 30 years of experience partnering with Health Plans in coordinating and managing home care services. Our experience and systems give us the ability to proactively anticipate and solve for gaps in care, while being a trusted partner in the delivery of care. Coastal prides it’s self on very high levels of transparency, accessibility, and flexible and dynamic reporting capabilities for our Health Plans.
VALUE PROPOSITION
Affordability
- Market competitive affordability targeting for Health Plans
- Significant reduction of Fraud Waste and Abuse; by detection and prevention. Monitoring and Audit compliance.
- Timely Care Coordination of hospital discharges
- Hospital Readmission reduction; focus on Health care dollars being spent on quality care and positive health outcomes
Member Experience
- Accountability- One point of contact through the continuum of care
- Accessibility- 24/7 service/support
- Member satisfaction at the core of our values
- Continuous Improvement and feedback loop- Reduction in member complaints
- Specialized, industry experienced client and member service staff
Quality
- Care coordination
- Hospital Readmission reduction
- Develop coordinated, collaborative care plans with providers
- Improved member adherence
Health Plan Partnership
- Liaison between plan and providers
- Assist plan in claims dispute resolution with providers
- Support, continuous claims analysis for HEDIS and Risk Score adjustment (RAF)
OUR SYSTEM
Our Proprietary Software System sets us apart from our competitors by offering Health Plans:
- Complete Transparency
- Extraordinary Flexibility
- Unmatched Reporting/Tracking Capabilities
- Real-Time Access to:
- Authorizations
- Order Status
- Member Records/Orders
- Claims
OUR MODEL
We believe our model will be able to deliver more value to Health Plans in the following key areas:
- Maximize plan efficiencies and reduce costs
- Restore member health
- Collaborative Model of Care
- Simplify and enhance Quality of home care services
- Avoid unnecessary service delivery
- Customize business processes for customers
- Leverage innovations and technologies