Navigating the Changing Healthcare Landscape

Healthcare reform poses a challenge to Government Health Plans providing prime care for chronic health populations, while meeting regulations and keeping costs low. MedCompass® is fully HIPAA compliant deploying clinical protocols that help meet MITA 3.0 compliance. HEDIS measures can be integrated into assessment tools, program documentation, or other areas of the system to optimize performance. MedCompass® promotes healthcare transparency enhancing value-based care by providing meaningful quality and cost information to patients, payers, and providers. MedCompass® offers population care management solutions across the complete continuum of care connecting interdisciplinary care teams with each other and with patients. We help you adjust quickly to the changing landscape via the flexibility of the platform’s robust rules engine allowing the entity to configure MedCompass® to make their unique workflows more efficient for their users. All aspects of the MedCompass® healthcare modules are highly configurable allowing for evidence-based, best practice functionality to be coupled with your organization’s proven workflow helping you meet your company needs more efficiently than ever before.


Our solutions include deep functionality supporting government-sponsored healthcare programs:

  • Integrated ICD-9 and ICD-10 diagnosis codes
  • Interoperability between new and existing systems
  • Utilization management role-based workflows providing excellent care at the right time, while reducing costs
  • Prior Authorizations
  • Appeals & Grievances
  • Identify care gaps
  • Intuitive Performance Dashboards
  • Comprehensive Medical Reviews
  • Track and improve Star ratings, HEDIS Measures, CMS Star Ratings
  • Address social determinants of health
  • Meet MITA Regulations

MedCompass® Ideal Solutions:

  • Medicaid Managed Care Organizations
  • Medicare Managed Care Organizations
  • Health and Human Services Organizations
  • Long Term Services and Supports (LTSS)
  • Developmental Disabilities
  • Aging Agencies
  • Home and Community-Based Services (HCBS)
  • Adult Daycare and Protection Services

Contact Us

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.