Secure Exchange Solutions is a cloud-based platform that offers innovative solutions to improve the access and exchange of clinical data between healthcare providers and health plans. Our nationwide bi-directional clinical exchange platform helps increase efficiency, reduce costs, and improve the quality of care for health plan members. Specifically, we help health plans meet the unique data needs of care management, risk adjustment, HEDIS, and Stars programs. Our solutions provide a range of benefits including:

• Secure, Efficient Clinical Data Exchange
  We electronically capture clinical data from diverse source systems and transform the data into the formats health plans need, reducing the time and administrative costs associated with tedious labor-intensive manual chart chases.

• Real-Time Member Management and Provider Communications
  Our health event notification technology enables health plans to manage high-risk members and close care gaps within provider EMR workflows to meet quality/cost measurement thresholds aligned with value-based reimbursement programs.
• Improved Provider Engagement
  We help health plans comply with the CMS Stars (TRC) measure by alerting PCPs within 48 hours of a member’s hospital admission and the required follow-up after ED visits for patients with two or more chronic conditions to reduce the rate of unplanned acute and costly readmissions.

RISE National Roundtable – 2023 

Provider Engagement: Meet Your TRC Goals and Receive Clinical Charts Without Provider Abrasion

Last year, Secure Exchange Solutions delivered an informative and engaged roundtable on March 8, led by Rebecca Elhassid, VP of Enterprise Solutions. The discussion focused on the provider’s perspective regarding clinical data exchange and the challenges of meeting the CMS TRC STARS measure for provider notifications.