Casenet TruCare

A Centene Company.

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Overview

Casenet, a Centene company, provides TruCare, a comprehensive care management platform for payers. It helps health plans manage their members by integrating data and streamlining workflows for case management, disease management, and utilization management, supporting a whole-person approach to care.

✨ Key Features

  • Case Management
  • Disease Management
  • Utilization Management
  • Population Health Management
  • Care Plan Development and Coordination
  • Appeals and Grievances

🎯 Key Differentiators

  • Deeply integrated suite of tools for all aspects of medical management.
  • Backed by the resources and experience of Centene Corporation.
  • Highly configurable to meet the needs of different health plans and lines of business.

Unique Value: Offers a single, integrated platform for health plans to manage all aspects of member care, from utilization management to complex case management, enabling a holistic and efficient approach to population health.

🎯 Use Cases (4)

Managing complex case management for health plan members. Authorizing and managing healthcare services (UM). Running disease management programs for conditions like diabetes. Coordinating care across a network of providers.

✅ Best For

  • Integrated medical management for commercial, Medicare, and Medicaid health plans.
  • Streamlining workflows for care managers and utilization review nurses.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • EHR for a provider practice.
  • Hospital discharge planning tool.

🏆 Alternatives

ZeOmega Jiva VirtualHealth Medecision

Provides a very comprehensive, all-in-one solution that is often seen as a robust and stable choice for large health plans, competing closely with platforms like Jiva.

💻 Platforms

Web API

🔌 Integrations

Claims systems EHRs Clinical data feeds

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ HIPAA ✓ BAA Available ✓ SSO

💰 Pricing

Contact for pricing
Visit Casenet TruCare Website →