• Saturday, 20 July 2019

MHK Introduces New Appeals and Grievances Offering for Small Health Plans


May 18, 2019 (2 months ago) |
TAMPA, Fla: MHK, formerly MedHOK - Medical House of Knowledge, part of the Hearst Health network, and a Tampa-based healthcare technology pioneer that helps health plans and other managed care providers deliver better member care by bringing all critical member data together into an integrated platform, announced today the introduction of MHK CareProminence SELECT Appeals and Grievances Suite for small health plans.
Designed for Medicare, Medicaid, and Commercial health plans with less than 25,000 Medicare Advantage members or 100,000 total members, MHK CareProminence SELECT Appeals & Grievances Suite is a cost-effective solution that features multi-tenant cloud architecture with standardized, pre-configured workflows that drive compliance and streamline efficiency, HIPAA-secure infrastructure, and out-of-the-box capabilities.

MHK CareProminence SELECT Appeals & Grievances Suite is an efficient and affordable offering that delivers compliance without complex customization. The Suite includes the MHK Medical Appeals, MHK External Review (ExRM), MHK Grievances, and MHK Pharmacy Appeals (optional) solutions. Serving the industry with MHK's CareProminence Complaints, Appeals & Grievances (CAG) Suite since 2012, MHK recognized the need for small health plans to have access to the same type of capabilities but at a lower cost.

According to Marc Ryan, Chief Strategy and Compliance Officer, The development of MHK CareProminence SELECT was driven by the need for small health plans to have access to the same quality solution that some of the nation's leading plans have enjoyed, with standardized configurations and workflows, driving a lower cost. Creating a multi-tenant architecture with a secure data environment allowed this dream to become a reality and now small plans can operate as efficiently and effectively as larger plans.

MHK CareProminence SELECT Appeals & Grievances Suite allows small health plans to create process efficiencies, ensure compliance adherence, improve quality of care and Star scores, enhance member and provider experience, and ensure success in delivering value-based healthcare. MHK is continuing to develop solutions for small and large health plans, PBMs, and provider organizations as part of its healthcare technology strategy.

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MHK Introduces New Appeals and Grievances Offering for Small Health Plans

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