Health Plans
Sinq extends the reach of health plan care management into the community by bringing together health plan data and home health provider service insights, built around the individual.
Providers are engaged with your community care members more regularly than you can be. Partnering with sinq taps into the vast potential of your provider network by aligning incentives with growing regulatory and value based care demands.
Value based payment (Prevent!)
Providers resolved most Care Gaps within 3 months of deployment
Care Gaps result in preventable episodes, including adverse impacts of unplanned admissions. Your provider network wants to help!
Sinq works with health plans to identify and package Care Gaps for provider visibility and help to resolve gaps before they become unmanaged problems.
Actionable insights (React!)
Greater than 1% of the scheduled visits identified a Change in Condition
Decompensation events are too often discussed in retrospect as root causes. Your providers observe your members on a regular basis and are able to identify potential issues more regularly and with greater sensitivity than is possible today.
Change in Condition alerts provide time critical information for your care management team to proactively address potential issues.
Eliminate waste (Optimize!)
More than 10% of appointments required additional validation based on variation in either duration or location
The industry is rapidly moving towards mandated visit validations at both the federal and state levels. Individual state Medicaid programs will be mandating EVV for all payments. It has already begun in Florida, Illinois, New York, Ohio, Rhode Island, South Carolina, Tennessee, Texas, and Washington.
Sinq's integrated EVV solution ensures members receive the care they are entitled to, and reduces exposure to Fraud, Waste & Abuse (FWA).
Coordinated care (Collaborate!)
Sinq's platform provides sharing of notes, issue tracking, and Care Plan management and visibility
Information asymmetry compromises member outcomes. Transparency across the holistic care team achieves break through levels of care delivery alignment with the member at the center.
Frequently Asked Questions
How does sinq identify Care Gaps?
Sinq can work with health plans to integrate existing Care Gaps if the organization maintains information. Alternatively, sinq can partner with health plans to integrate basic claims data to derive Care Gaps using sinq’s processing engine and agreed parameters. An example of this would be using claims to identify when the last primary care visit occurred and whether a Care Gap to schedule a new PCP visit exists.
The result is providing our clients with the ability to both identify and select which types of Care Gaps to circulate at that particular point in time based on any business considerations (STARS / HEDIS, targeted campaigns, etc.).
I’ve heard of sinq’s competitors. Why is what sinq has to offer better?
Sinq was built from the ground up with the future in mind, using the latest cloud and mobile technologies, which continue to permeate every socioeconomic and demographic worker group. In contrast, many of our competitors are evolving from the clunkier EVV centric solutions, backing into sub-optimized mobile offerings. Sinq’s solution results in better information, unlocking operational value to health plans.
How can I risk the privacy of my member data for this program?
We understand that your member privacy is the most critical cornerstone of your business. At sinq, we do not view information security as a requirement. It is every bit the cornerstone for our business, architecture, and operations that it is for our clients. We start with a basic guiding principle: we consume only the bare minimum information we need. We add our collaboration with our pilot partners to incorporate learnings from high profile breaches in the industry and tapped into security audit professionals to take a fine tooth comb to sinq’s security capabilities.
Our goal – Security Policies and best in market capabilities we are proud to offer.
Sounds great, but this is going to take forever!
Good things come to those who… who are we kidding? Sinq understands that speed to market separates pet projects from disruptive innovation. We’ve taken the time in concept and pilot stages to round out our offerings and iron out our delivery speedbumps. Sinq can move as fast as we can encourage your organization to.
What happens to all this great information my Providers will generate?
Sinq consolidates community interactions with your members, including everything from EVV compliance, to value added insights such as Change in Condition and Care Plans, and further to collective actions taken by the care team to resolve Care Gaps. All of this information is retained on sinq’s cloud leveraging a multi-tenant architecture to protect our clients’ data integrity.
We welcome your approved users to access our operational and analytical reports available on sinq’s customer portal, and make your member data available for API integration.
How do we know this is going to work?
While we can share early realized and expected results with you, we realize there is no substitute to reality. Sinq is excited about our early results and is happy to offer flexible contract structures to allow you to scale as aggressively or conservatively as desired. Sinq is committed to your quality and financial benefits, and is proud to work with our clients on value sharing contracts where appropriate and desired.