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THE IHCS MODEL

Our Integrated Model:
Better outcomes &
experience. Guaranteed.

We help patients, providers and health plans
achieve their care goals by carefully coordinating
every aspect of home care. With this, patients can
focus on improving their health and having
more quality days at home.

We help patients, providers and health plans achieve their
care goals by carefully coordinating every aspect of
home care. With this, patients can focus on improving
their health and having more quality days at home.

OUR SERVICES

Everyone benefits
from true integration

Our flexible, integrated model is based on decades of experience delivering turnkey home care services to satisfied health plans and their members. We combine advanced technology, licensed third-party administrative (TPA) services, and a vast provider network to give all patients the timely, coordinated care they need and deserve. We are dedicated to serving every patient, across all lines of business, including commercial plans, Managed Medicaid, and Medicare Advantage. Whether one is transitioning from a hospital or other care facility, or just completing a visit with their physician, we help patients have more quality days in the home.

OUR BENEFITS

Get so much more with IHCS

Coordinated care helps
people get better, faster.

  • Reduces ER visits and readmissions
  • Tailors care to each person’s unique needs
  • Addresses social determinants of health

Value-based model aligns
incentives and streamlines care.

    • Creates predictable PMPM spend
    • Aligns payer/provider incentives to reduce unnecessary care
    • Delivers insights to manage utilization and costs

Delegated administrative and clinical functions enhance your efficiency for your team.

    • Builds on decades of TPA experience
    • Redirects resources to high-cost categories
    • Increases transparency and insights

Continual focus on member needs and customer service enhances satisfaction.

    • Regular audits, surveys, and outcomes analyses
    • Over 90% patient satisfaction
    • Exceptional provider and plan ratings

2

Patients served

2800

Network Provider locations

25

Years of experience

12

Active states and Puerto Rico with health plans across all lines of business

OUR SERVICES

Comprehensive, coordinated services. Affordable care and outcomes you can count on.

Home Health Services

Skilled, compassionate nursing, therapy, and personal care services

Durable Medical Equipment

High-quality equipment delivered on time and on budget

Home Infusion
Services

Safe, comprehensive, therapeutic infusion services

HOME CARE MANAGEMENT

A single solution for singular care.

Imagine having a trust ally that tailors integrated home care solutions to support your specific goals.
That’s what you get with IHCS. Guaranteed.

Network Development,
Credentialing
and Management

  • NCQA accredited
  • Rigorous credentialing, auditing, and provider education
  • Monthly reports of credentialed, re-credentialed, and terminated providers
  • FDR training and compliance oversight
  • Performance, sanctions, and complaint monitoring
  • Management of provider appeals process

Claims Processing
and Payment

  • Pay nearly 100% of clean claims within 30 days
  • Timely claims processing with a 99%+ accuracy rate of total dollars paid
  • Monthly reporting on accuracy and timeliness of claims processing
  • SOC 2 accredited

Utilization
Management

  • NCQA accredited
  • Referral evaluation and determination of qualifying services
  • Referral assignment based on each patient’s geography and clinical needs
  • Integrated address validation and real-time eligibility verification
  • Built-in reporting for pending referrals and productivity management
  • Turnaround reports detailing daily orders

Data Insights

  • Coordinated insights from award-winning MedTrac platform
  • Real-time information delivery and utilization optimization tools
  • Easy to track and report on performance.

OUR TECHNOLOGY

MedTrac supports better care and costs

Total transparency
and accountability

Gain visibility across all
providers and patients for
the entire patient journey

Real-time referral
and UM tracking

Review and monitor
utilization decisions and notes,
along with medical orders

Optimized
authorizations

Streamline authorizatizations
and reduce denials

The Platform

Our comprehensive platform puts real time, actionable data in
the hands of all stakeholders.

24 hr. access to:

  • Request a refill
  • See order status
  • Arrange for service call
24 hr. access to:

  • Request a refill
  • See order status
  • Arrange for service call
24 hr. access to:

  • Request a refill
  • See order status
  • Arrange for service call

HOW IHCS HELPS EVERY STAKEHOLDER

When care is coordinated, everyone wins.

Health plans and at risk groups can reduce administrative tasks and unnecessary utilization, lowering the cost of care while improving member satisfaction and retention.

Health Plans

Patients and members receive timely, comprehensive, and coordinated care and equipment so they can recover faster and safely in the comfort of home.

Patients & Members

Providers experience streamlined discharges, simplified billing and admin processes, access to broad payer networks, fewer readmissions, and fewer unnecessary procedures.

Network Providers

Referring physicians get enhanced communication, customized services, as well as provider and patient portals for better care coordination and outcomes.

Referring Physicians
“

It is a pleasure working with IHCS. I always appreciate the care they help me with my medical supplies.

Barbara M.Patient, Florida
“

[The] IHCS Staff provided us excellent customer service, patiently answered all our questions, always available as well as allocating time to work us through instructions in a very simple, clear, easy to understand voice.

Network ProviderFlourish Home Health Care LLC
“

Compliance is not a choice, it’s the rule.

Donna GaleVice President of IHCS Compliance
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