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Pega Care Management Implementation Guide

Updated on May 12, 2021

Pega Care Management provides organizations with the opportunity to manage patients through the life cycle of engagement. Pega Care Management now uses Pega Customer Service for Healthcare as a foundational application that provides clients access to many Customer Service workflows and functions. The Pega Care Management application optimizes the creation and management of care and care plans for patients through automated integration and workflow rules. You can quickly start using the application for one area of care such as managing disease states or offering wellness campaigns and then easily expand to also support utilization management or case management for patients.

The application provides a unified approach that uses the value of highly skilled care-management professionals to ensure that optimal care is delivered to both populations and individuals across chronic and acute conditions.

With Pega Care Management, organizations can build and manage programs and support care management across all functions by providing a complete view of each patient including Internet of Things (IoT), clinical information, assessments, and analytics. The application also enables care teams to configure programs that comply with industry standards, such as HIPAA-compliant data usage and other standards.

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