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What We Do - Care Solutions - Enhanced Case Management - Hero Image

Holistic,Empathetic Approach to
Care Management

Allied’s Enhanced Case Management (ECM) program proactively supports members facing ongoing, unmet, or catastrophic health needs, delivering compassionate care with a proven ROI of 2:1.

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High-Tech, High-Touch Approach

Identifying at-risk members and understanding their unique circumstances requires a delicate balance of technology and human interaction.

Allied’s proprietary machine learning engine uses dynamic algorithms to analyze various data sources and evidence-based methodologies to identify at-risk members in real-time.

Combined with the expertise of Allied’s specialists, our high-tech, high-touch advocacy model enables our Care Advocates to intervene with a personalized plan of action when at-risk members are identified.

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At-Risk Members are Identified in
Categories Such As:
  • Vital organ disease
  • Unexpected life event
  • High-risk maternity management
  • Gene therapy
  • Frequent or excessive ER visits
  • High-risk diabetes
  • Behavioral health and substance abuse
  • Virtual Primary care
  • Coverage evaluation
  • Site of administration
  • Specialty Rx
  • Opioid dependence
  • High-risk lifestyle patterns
  • Navigation
  • MSK

As a result, members get the actionable guidance they need, leading them to better health and potentially significant cost savings.

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Compassionate Care. Proven Results.

With Enhanced Case Management, you’re not just managing high-cost claims—you’re getting ahead of them. See how our proactive, member-first approach delivers better outcomes and real savings for you health plan.

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