A holistic approach to
clinical care management
Designed for self-insured organizations, ClinicalCare is backed by a team of experts who lead personalized programs for members who are at-risk, have chronic conditions, or have complex chronic conditions.
What is ClinicalCare?
ClinicalCare is TouchCare’s in-house clinical care management program that leverages a multidisciplinary care team who provides personalized advice, resources, and support to each member.
Making Claims Count
We dig deep into claims data to serve up insightful analytics that you can use to understand the conditions that are impacting your members, review high-cost claims and visits, and much more.
The ClinicalCare Team
The ClinicalCare team is comprised of experts from a diverse spectrum of healthcare specialties, including primary care physicians, nurses, therapists, and experienced Health Assistants.
A refined member experience
Meeting members anywhere in their health journey.
Open Enrollment Support
Guidance for members begins at Open Enrollment, where our Health Assistants help members select a plan perfectly tailored for the needs of themselves and their family.
Proactive Outreach
Our managed care strategies analyze claims to identify gaps in care and recommended screenings. From there, we’ll provide direct outreaches to members based on their unique needs.
Care Navigation
TouchCare Health Assistants look at historical health claims data, including health risk assessments to flag at-risk members and provide personalized outreaches when necessary.
Reactive Support
Members with complex medical issues or chronic conditions are provided with individualized support and science-based strategies to improve engagement and outcomes.
A high-touch solution for comprehensive care
Delivering complete support for healthier outcomes and better ROI.
Substantial health savings
ClinicalCare isn’t just designed for the highest risk population. Members are proactively identified via analytics, predictive modeling, and other stratification strategies. Our early identification of members with impactful needs allows us to effectively target areas where we can improve results for members and drive ROI for employers.
Disease Management
Areas for savings
• Education & support for chronic conditions
• Proactive disease management
• Reduced Claims
• Prescription assistance
Care Management
Areas for savings
• Avoid additional charges to health plan
• Adverted inpatient admission
• Negotiated discounts
• Level of care change
Health Navigation
Areas for savings
• ER diversion strategies/steerage to PCP
• In-network steerage
• Cost comparison reports
• Prescription discounts & savings strategies
Member reviews
TouchCare services are built around member reviews.
We’ve maintained a 98% customer satisfaction rating by prioritizing their specific needs.
GREAT JOB
“You just made my day. I would just like to say thank you and let you know that you do a great job every day.”
SO GLAD
“I’m so glad you’re my nurse. There are few other people in my life that I like and trust and I just wanted you to know that.”
Learn more
ClinicalCare creates a roadmap for greater success and produces healthier outcomes for employers and their employees.
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Understanding healthcare; with us, it’s personal.