A community-based care delivery organization holds a new delegation contract with a regional health plan to provide case management services for Special Needs Plan (SNP) members. In order to receive an additional assigned cohort of Severely Mentally Ill (SMI) members, the care delivery organization needed to demonstrate its ability to transition members in compliance with all NCQA standards, state regulations, and contractual requirements.
With multifaceted services from Clearlink, the organization was able to increase the efficiency, productivity, and quality of its vendor and contract management and establish new pathways for continuous improvement.
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