The Challenge
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Long Term Services and Supports is different from other forms of healthcare. The patient populations, healthcare delivery setting, and financial risk present unique challenges. The stakes are high for plans to deliver high-quality care that results in improved health outcomes while maintaining cost effectiveness. All too often, MLTSS programs don't have access digital solutions that are tailored to their needs and instead have to force fit less desirable solutions.
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How QCSS Health Delivers
Mission Critical SolutionsWe evaluate the requirements and needs of our client partners and configure our solution to be fit for purpose. Our products enable mission critical business processes instead of inhibiting them.
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Domain ExpertiseOur team members have experience across Managed Care, Nursing Education, Healthcare Analytics, Finance and Healthcare Software. Our combined capabilities enable us to deliver optimal products for LTSS organizations.
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Service Delivery ModelQCSS Health is not just another software vendor; we partner with our clients to improve and innovate their critical business processes. We are up-to-date on advancements in LTSS and seek to provide substantial value for each client.
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This tool is the difference between flourishing, which we are, and being out of business. The Analyzer is essential to our operations.
- Client CFO
Long Term Service and Supports Tools Enabling Your Success
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Assessment Accuracy - LTSS programs provide healthcare in the community which is quite different than other healthcare settings. The use of standardized assessments to enable reimbursement, time tasking for service authorization, and individualized care plans is unique. Clinical accuracy of the assessment becomes a critical aim for LTSS organizations.
Population & Member Analytics - Understanding the characteristics of a population is critical in determining where to invest limited reimbursement dollars to maximize health outcomes. The ability to drill down to a particular member at a particular time enables effective outcomes.
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Workforce Management - Home and Community Based Organizations have workforces that are unlike many other healthcare settings. The team is largely highly skilled and remote. In particular, managing team members that conduct assessments is a unique task that requires reporting and proven processes.
Financial Management - Understanding inflows of reimbursement and outflows for service expenditures all rely on careful analytical measurement. It's particularly important when case mix models are different than service allocation models. Having the capability to map drivers against each other and having access to ready-made reporting becomes key to the success of a Home & Community Based Organization.