Software to Help You Navigate Change

Today’s turbulent healthcare environment demands a Care Management solution that allows you to react and adapt quickly to change. MedCompass is a fully integrated, outcome-driven solution that allows you to improve quality of care and reduce costs.

MedCompass Puts You in Control

Effective Care Management technology can directly and positively affect the social and financial health of the country and its people. That’s why we have developed a solution that puts you in control.

Too often Care Management solutions have rigid designs and limited ability to adapt to your processes. Out of the box and inherent in MedCompass’ architecture is an unprecedented flexibility, configurability and extensibility that will position your organization to stay in front of the accelerating pace of change.

Our technology facilitates proactive Care Management using a fully integrated database of member and provider information—coordinating all interactions using collaborative workflow management and business rules automation. MedCompass supports real-time communication and coordination of care among all members of the care team, inside and outside the four walls of traditional healthcare settings.

MedCompass logo, healthcare management software solutions such as utilization management (UM), case management (CM), disease management (DM), and medication therapy management (MTM).

MedCompass Software Platform Highlights

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Utilization Management (UM) Software Module

Ensure clinically sound processes and respect patient and provider rights with access to nationally recognized clinical standards and guidelines, URAC-suggested quality data collection tools and customizable assessment solutions.

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Case Management (CM) Software Module

Assess, coordinate, facilitate and manage a member’s use of health and social services that meet individual health needs and promote high-quality, cost-effective outcomes.

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Disease Management (DM) Software Module

Identify, stratify and engage patient populations and high-risk members to develop collaborative, evidence-based care plans. Track member progress and engage and educate through automated documentation and letter generation and delivery.

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Medication Therapy Management (MTM) Software Module

Manage Medicare Part D eligible patients taking multiple medications to decrease chances of medication mismanagement and increase monetary returns. Use streamlined workflows to expedite tedious processes for pharmacies performing MTM services such as Comprehensive Medication Reviews (CMR), Targeted Medication Reviews (TMR), and Drug Utilization Review.

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Performance Reporting

Capture & assess real-time business intelligence with integrated reporting tools that allow you to design your own analysis & create ad hoc & standard reports. Use data to raise awareness of evidence-based practices, improve quality of care to maintain reputation and market share, and to serve as basis for incentives.

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HIPAA Electronic Record

Extensive, customizable and multi-dimensional security and confidentiality features that exceeds the most stringent requirements for implementation and management of role-based access. MedCompass is fully compliant with HIPAA Electronic Data Interchange Rules.

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Facilitate payer-provider collaboration and reduce administration and related costs with the automation and approval of referral requests, which integrate into providers’ existing workflows.

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Health Assessments

Claim ownership of your assessments and surveys using MedCompass’ industry leading assessments configuration tool.

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Pro-Active Care Planning

Move towards coordinated, evidence-based care management using data collected from across the continuum of care and create proactive care plans that improve quality, reduce costs and achieve desired outcomes.

How can MedCompass help you?

MedCompass combines “best-in-class” functionality and technology to help you stay ahead of rapidly changing healthcare requirements driven by health care reform.

With MedCompass you are ready for today’s challenges and opportunities and prepared for tomorrow’s innovations and demands. You are also ready to effectively address two of the greatest concerns today; quality and cost, while taking health management beyond the data to focus on improving care for the individual and for populations.


For any healthcare technology to be effective, it has to meet the needs of those who will use it. MedCompass was designed with an enhanced user interface that reduces the learning curve and improves user adoption rates. As a web-based system, users can access MedCompass from any web-enabled device. Future generations of MedCompass will allow mobile users to fully leverage smartphones and other mobile technology.

MedCompass eliminates your team’s reliance on pen and paper. Automated workflows and core processes speed transactions and make referrals to any member of the care team effortless. Follow-up tasks are flagged in a Task Log, providing more efficient time management.

MedCompass is an analysis and reporting engine that converts data into meaningful, actionable information. MedCompass delivers browser-based analytics that care teams can quickly learn and use to improve performance, promote early enrollment in case and disease management, identify treatment risks and opportunities, and deliver more personalized care. Enhanced analysis and reporting capabilities allow you to identify areas that need improvement so that you can advance your operations and deliver desired outcomes.

Security is a top priority in MedCompass. We approach privacy and security with extensive, customizable and confidentiality features that ensure full HIPAA compliance. Integrated security meets industry security requirement and is enforced at multiple levels of the software, from the database and user interface profiles to business rules. MedCompass is fully compliant with the HIPAA Electronic Data Interchange Rules, ICD-9, ICD-10 and HIPAA 5010 message standards for payer and provider electronic transactions.

MedCompass helps your care teams adhere to evidence-based best practice guidelines from industry experts, healthcare quality organizations and medical authorities. Our platform supports your focus on evidence-informed clinical practice and policy decision-making through the collection and interpretation of high-quality patient data from across the continuum of care.

MedCompass is web-based health management technology that enables the flow of information to improve quality of care and population health. MedCompass can be accessed from anywhere and also allows caregivers and medical professionals operating in remote locations to use the application even when not online. Our technology helps you to overcome today’s challenges and be prepared for future market conditions and next generation computing environments.

MedCompass supports your organization’s performance according to government and industry standards such as NCQAand URAC.Integrated features provide you the means to demonstrate adherence to standards, outcomes of quality initiatives and treatment plans and evidence documentation for accreditation visits. Compliance measures such as HEDIS can be incorporated into assessment tools, program documentation, or other areas of the system. Time tracking, appeal management and access to online, evidence based, best practice clinical guidelines are just a few of the ways MedCompass improves compliance to standard and consistency of practice across your care team.

MedCompass is an integrated utilization, case and disease management solution with rule-driven workflow that promotes transparency, automates processes, controls costs and consolidates care planning, monitoring and collaboration onto a single platform. MedCompass is built for seamless systems integration with third-party systems, as well as industry standard criteria and clinical data repositories. As QHP (Quality Health Plans) are driven to standardized accreditation for participation in the Affordable Insurance Exchanges, MedCompass provides the integrated platform to deliver efficient access to actionable data from across the continuum.

For more information

For more information about MedCompass and how it can help you improve quality, reduce unnecessary administrative costs, decrease paperwork, expand access to affordable care, and improve visibility in the marketplace, please contact us.