Citra Health Solutions Company
ABOUT ORANGE Orange Health Solutions is forging the new era of healthcare by focusing on pro-active care management and care coordination, supported by best-in-class patient engagement and evidence-based guidelines. Orange Health believes healthcare is a journey that is personal yet socially connected, and a lifestyle not a reaction. Orange delivers a unique and comprehensive, technology powered, people driven solution - one designed to identify and incorporate medical cost management across all phases of care delivery from patient intake, pre-visit preparation, all the way through care coordination and follow through. Orange begins and ends with medical cost management, and continually focuses on the data by analyzing medical cost opportunities, combining claim and clinical data to prioritize and identify opportunities to improve both medical cost and quality at the patient level. TECHNOLOGY Orange’s patient-centric technology platform aggregates clinical, financial, and patient information from multiple sources to create a holistic perspective of a provider’s panel and individual patient touch points within the health care system. • Application enables the external care team to operate and feel part of the in-practice staff • Manage referrals so that patients see the right cost and quality specialists • Workflow that enables care and wellness gap closure • Real-time care coordination for hospital admissions & discharges • Single aggregated platform for data - EMR, hospital, labs, claims, referrals, medications STAR PROGRAM The Orange Star Program was created to improve a plan’s star ratings through data-driven, high?touch service designed to improve member experience and keep members healthy. We partner with Medicare Advantage Plans to achieve the highest star ratings and, as a result, increased revenue. Features include: • Patient outreach with proven scripting and workflow technology to close care gaps • Complete Rx reconciliation to identify and offer solutions for compliance and adherence • Virtual health risk assessment completed • Patient profiles and preferences recorded to enhance gap closure success rates • On-going communication with physicians to alert of potential compliance or cost risks • On-going reporting to help plans with CMS compliance VIRTUAL SUPPORT Orange employs highly trained Patient Advocates and Virtual Clinicians and scales services to the needs of their customers’ patients. These individuals are supported by innovative, cloud-based technology that integrates with the providers’ existing systems. This technology, along with a patient-focused process, enhances the effectiveness of the virtual care team. Available solutions include: • Daytime Call Management & Scheduling (Intake) • Appointment Reminders • After-hours Phone Support • Nurse Triage • Pre-Visit Preparation • Patient Outreach & Care Management • Referral Coordination • Lab results Follow Through • Confidential Messaging • Medication Reconciliation • Transition of Care Management ACCOUNTABLE CARE ORGANIZATIONS (ACOs) Orange delivers a unique and comprehensive, technology powered, people driven solution - one designed to identify and incorporate medical cost management across all phases of care delivery from patient intake and pre-visit preparation, all the way through care coordination and follow through. Service options for ACO’s include: • CONTRACTING (Contract Formation) • COMPLIANCE (Analytics & Reporting) • COORDINATION (Care Coordination) • MANAGEMENT (Population Management) Orange begins and ends with medical cost management. We continually focus on analyzing medical cost opportunities by combining claim and clinical data to prioritize opportunities to improve both medical cost and quality at the patient level. • Expertise to analyze all patient behavior and medical costs • Processes to empower physicians and extended care teams • A platform to provide the right information at the right time to have the right conversation with a patient