Focus Areas

Automated Member
Acquisition
Care Management
Healthcare Reform
Health Information
Exchange
Health Plan Core
Claims Systems
ICD-10
Medicare

Focus Areas - Care Management

HTMS has provided strategic, business, operations, and technology support to a full range of organizations in the health sector. HTMS provides solutions across all areas of the health care continuum, with an additional focus on the following areas of expertise noted to the left.

Care Management – As healthcare premiums continue to rise; consumers shoulder a growing share of healthcare costs while taking on the management of their own healthcare decisions. Consumers now demand the tools and guidance to make informed healthcare decisions based on the costs and quality of care. Simultaneously, health plans are looking for new ways to control expenses without impacting the quality of care. The traditional permission-based medical management programs are giving way to integrated care management programs that focus on early detection, prevention, and wellness.

HTMS clinical consultants assist health plans to meet the challenges of the new consumer centric environment, control healthcare costs, and improve the quality of care. Our care management team offers a full range of services in all of HTMS’ practice areas and assists health plans to transform their business.