Qualitrac is Telligen's proprietary, population health management application. This web-based, mobile friendly, HITRUST Certified system provides the flexibility and modularity required to handle todays complex healthcare data management and analytics solutions. Telligen offers multiple pricing and contract options.
Qualitrac includes a suite of four inter-connected modules that can function on their own or serve as a comprehensive population health management solutions when combined. We've designed Qualitrac so that it can seamlessly integrate with legacy Medicaid MMIS and Health Plan systems.
The four modules include:
Case Management: In collaboration with case managers, provider, and members we have developed our Qualitrac Case Management module to support a comprehensive person-centered care coordination process by combining innovative technology and user-friendly design in a cloud hosted SaaS product that integrates easily into your populations health enterprise systems environment.
Utilization Management: Telligen's Utilization Management module efficiently manages the review process, promoting quality care and reducing unnecessary services. This solution eases the administrative burden for providers and staff, contributing to cost-effective healthcare management for our clients. Though integrated clinical criteria, we are able to automate authorization decisions, streamlining the process effectively.
Preadmission Screening and Resident Review (PASRR): Our innovative PASRR module empowers providers to effortlessly navigate the Level I screening submission process and features a workflow-driven approach for Level II assessments, seamlessly scheduling and conducting assessments while providing comprehensive outcome reporting and in-depth data analytics.
Quality Measures and Reporting: Our Quality Measures and Reporting module creates a pathway to collect, validate, enhance, and report quality data all in one place. Qualitrac includes a robust library of HEDIS and non-HEDIS measures for hospital, provider, and ACO quality reporting programs. Analytics and dashboards provide actionable insights to address gaps in care at all levels of aggregation, from the plan and population level, down to the provider and individual member results.
Qualitrac is the system of choice of multiple Medicaid programs, and several federal and commercial health plans across the country. As a web based solution, Qualitrac is accessible to all users via internet enabled computers, tablets or mobile phones.
Access is role based, ensuring users have functionality and information based on their specific needs. Our Qualitrac suite of products include a intuitive portals for providers and members, a task-driven workflow system for nurses to efficiently manage their daily workload in a prioritized manner and mobile apps to connect your clinical team and members to manage an individual's health.
AWS Marketplace now accepts line of credit payments through the PNC Vendor Finance program. This program is available to select AWS customers in the US, excluding NV, NC, ND, TN, & VT.
Pricing is based on the duration and terms of your contract with the vendor. This entitles you to a specified quantity of use for the contract duration. If you choose not to renew or replace your contract before it ends, access to these entitlements will expire.
Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator to estimate your infrastructure costs.
You buy an annual license for the Qualitrac Case Management module, billed under a contract term. Pricing scales by the size of the population you manage, not by user seats or usage. Four population brackets set the price: up to 5,000; 5,000-10,000; 10,000-25,000; and over 25,000. You pick the single tier that matches your covered population count. As your managed population grows into a higher bracket, your license tier changes accordingly. Each tier delivers the same cloud-hosted case management capability; only the covered population size differs between them.
Top-of-mind questions for buyers
What population count decides which license tier I pay for?
The tier maps to the number of members, or covered lives, your program manages through the Case Management module. You count the total population under care coordination, not the number of case managers or staff logins. That total falls into one of four brackets, and you buy the matching annual license.
What happens to my cost if my managed population crosses into the next bracket?
Each license covers a fixed population range for the annual term. If your covered population grows past your bracket's ceiling, you move to the license tier that matches the new count. The whole license changes to that bracket; the tier is not split across brackets.
What case management capabilities are included regardless of which population tier I choose?
All tiers deliver the same cloud-hosted module. You get the Member Hub, care team portal, and mobile app, plus configurable business rules and assessments. It includes automated referral creation, scheduling, dashboards, and reporting. Real-time and batch data interfaces support integration into your population health systems. Only the covered population size differs between tiers.
www.telligen.com
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Refunds are subject to the terms and conditions of each agreement. Please contact your Telligen account representative to discuss your agreement.
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