PointCare was created in 2012 with the intention of providing continued medical insurance to publicly covered patients by helping them find the right medical coverage program. The company reaches out to Federally Qualified Health Centers (FQHCs) across the U.S. with an aim to organize and making public coverage more accessible while simultaneously simplifying its management. “PointCare’s cloud- based platform offers tools that aid FQHC enrollment departments in delivering a pleasant enrollment cycle experience to uninsured patients,” informs Lebherz. The coverage management platform comes in with features like PointCare Qualify that proves beneficial in allowing users to qualify patients for public, private and additional benefit programs in their respective states. This feature uses patients’ zip code and a few questions to match them with all available programs in the brief span of 90 seconds. “No health system today comprises the data required to understand the exact number of patients that actually qualify for reimbursable programs,” Lebherz goes onto say. “The data has health systems wondering why they are defaulting to sliding fee so often after seeing how many patients actually qualify for reimbursable programs.”
Added to this, the PointCare Verify feature of the platform coupled with PointCare Enrollment Intelligence™ automates the process of checking on the status of patient applications.
“Once an FQHC identifies an uninsured patient, they enter PointCare’s process of qualifying, enrolling, verifying, anchoring, and retaining the patient under Medicaid and other benefit programs,” says Lebherz. PointCare’s capability in keeping patients within an insurance program proved highly beneficial to a major health system in the U.S. that had a sizeable enrollment department but lacked an easy way to qualify patients for multiple medical programs simultaneously. With the use of PointCare’s product suite, the health system was able to educate and qualify patients for the right program in a timely manner. Added to that, the patients’ families were enrolled in other programs to aid finances on a daily basis. On recognizing the benefits of using PointCare, the customer purchased additional products to identify patients who dropped out of the Medicaid program and established workflows to re-enroll them. The efficient use of PointCare’s products led to a significant increase in member retention for its customer in just the first quarter.
PointCare has put together a process to continuously maintain public coverage rules and programs across states. PointCare’s coverage management platform and its extensive features have made it possible for FQHCs to manage their entire base of patients served in a simple and automated manner.