AutoGov

AutoGov Releases Updated Risk Management Software for Medicaid and Healthcare Reform

Leveraging analytics driven by more than 30 million cases, CaseVue allows healthcare providers, states and insurance companies with a comprehensive solution to managing risk in eligibility, enrollment and insurance exchanges.

CaseVue v5.0

CaseVue combines advanced analytics with world class data to ensure fast, accurate eligibility, enrollment and exchange decisions.

Austin, Texas (PRWEB) January 14, 2013

AutoGov Director of Technology and Analytics, Taylor Phillips; announced today a major release of his company’s flagship healthcare risk management software, CaseVue 5.0. This important version introduces improvements and tools designed to ensure that information necessary for Medicaid eligibility and enrollment is available in real time on a caseworker’s desktop.

Business office managers and caseworkers are often saddled with making decisions without the benefit of data necessary to prevent mistakes or errors. In these times of rate pressure and uncertainty in the healthcare reimbursement structure, mistakes and errors often mean money – significant write-offs and even fines. Phillips says, “CaseVue combines advanced analytics with world class data to ensure fast, accurate eligibility and enrollment decisions.” CaseVue gathers case data and fuses information from third party data providers to feed an algorithm designed facilitate decisions. A remarkably fast turnaround…this process takes less than one second.

Thanks to AutoGov’s new financial partner, Ontario, Canada based Fusebill (fusebill.com); CaseVue can now be priced to suit our client’s needs – by the score, in packages or on a monthly basis! AutoGov’s specialists can create a custom pricing structure to support any healthcare business.

The software also features new self-service sign-up, administration, training and reporting designed by Phillips and an amazing development team at Rochester, NY based Netsmartz (netsmartz.net).

CaseVue is part of a comprehensive platform used by healthcare providers and government agencies to provide decision support solutions with a base in predictive analytics. CaseVue provides users with fast, accurate decision support tools that improve both the timeliness and quality of eligibility, enrollment and exchange related decisions.

AutoGov’s CaseVue software has provided scores to healthcare providers and government organizations since its launch in 2005. AutoGov’s algorithms are informed by data mining and statistical analysis of more than 30 million Medicaid, Food Stamp and TANF cases. The company’s firm belief is that solutions for its clients must be affordable, practical, and harness technology to support day-to-day operations without major disruption or unnecessary expense.

Contact one of AutoGov’s CaseVue specialists for a demonstration at 512-439-2900 or sign your company up today at http://www.casevue.com.

Resources For Finding an Assisted Living Facility

                The search for the perfect Assisted Living facility for your loved one can be time consuming and confusing. With so many options, it’s hard to know where to start or how to begin to narrow down the search. There are many resources on the web for you to be able to check out and do research. We have gathered 3 websites that have important information to be able to make this process easier for you.

Memberofthefamily.net - http://www.memberofthefamily.net/

This website offers a rating system of 16,000+ Medicare/Medicaid- certified nursing homes across the United States. You can also look at a national watch list they have compiled. This can help you build a list of possible facilities and know which ones you should steer clear of.

AARP- http://aarp.us/wl1QsR

AARP is a valuable and respected site for senior citizens. The link above will take you to an article on “The “Do’s” of Due Diligence” concerning choosing a nursing home. Before you start the nursing home selection process, you should know what it is you are looking for and how to find it.

Medicare.gov - http://1.usa.gov/zuWwn4

Medicare.gov has compiled a detailed check list for you to be able to take it with you on your assisted living search. It offers questions to ask, reminders of what to look for, a detailed area for recording information gathered, and a rating system.

Hopefully these websites answer any questions you may have on choosing the best assisted living facility and make the process less confusing and less time consuming.

Making Sense of Medicaid

Medicaid and Medicare are a maze of rules and regulations. For ordinary citizens, Medicaid can seem like a chemistry experiment that only an expert can do.

I have noticed that the term “spend down” when talking about Medicaid long term care can cause a lot of confusion for people. The explanation is full of jargon and confusing rules.

Today though, I came across this article that explains what a “spend down” means, and provides a detailed account of how it works.

“Contrary to standard procedure when investing for retirement, where you are looking to maximize your   assets, under the spend-down, the government, before it will pay, is looking not to how you have maximized your assets but to how much is left.” Excerpt from “Column: Making sense of the Medicaid spend-down”

Getting educated and prepared for the adventure of applying for Medicaid is the hardest part. There are a plethora of stories, articles, and/or blogs that you can find to help break down the government “lingo” and can steer you on the right path with less frustration and confusion. Here’s one we recommend:

To read the article mentioned above, “Column: Making sense of the Medicaid spend-down”, visit http://bit.ly/uWz4aZ.

A Life Under Medicaid

This video is a touching story of a 94 year old former nurse aid who has come to love the "family" she has found in her nursing home.