The federal Program for All-Inclusive Care for the Elderly (PACE) requires patient-centered, multidisciplinary, coordinated and integrated care along with financial management for accepting risk. Seamlessly integrating these needs through a single platform enables Citra clients to succeed in this highly competitive market and enables our clients to focus on member outcomes.
For a PACE organization, Citra's EZ-Suite and point solutions allow you to focus on the goal to provide high-quality care in the community to older people with chronic needs, while managing the complex administrative requirements of full professional risk managed care contracts in a single, easy to configure and manage comprehensive platform. EZ-Suite provides the level of compliance and accountability in claims and utilization management, as well as integrated Care Management and analytics to effectively manage your entire business.
Together with our point solutions, EZ-Suite drives compliant, trusted core benefits and claims administration and care management excellence.
Widely used and always trusted, EZ-Suite delivers the most comprehensive and tested PACE core eligibility, claims, benefit and authorization platform.
EZ-CARE is a dedicated care management module supporting our clients clinical teams’ focus on managing risk, quality of care, reducing costs, and improving patient/member experience. This complete, easy-to-use case management application is designed for the unique workflows of the nurses, doctors, case managers and healthcare administrators engaged in care management roles.
EZ-INFO provides a complete, end-to-end population health platform for delegated IPAs, MSOs and Health Plans managing patients at risk. This solution combines everything from clinical and claims data to biometric and social information in a single location for actionable data, such as managing HCCs, HEDIS, STARS, etc., making program management simple, allowing you to effortlessly maximize revenue and reduce the future cost of care.
Cap Check is an essential tool for medical groups with capitated contracts to verify that they are receiving correct payments. By reconciling actual payments with expected payments on a member/month basis, you can verify whether you are being paid correctly, and make corrections when you are not.