Cadalys Announces Updates to CareIQ Suite on Salesforce AppExchange, the World’s Leading Enterprise Cloud Marketplace

Cadalys’ customers can now benefit from enhancements to support interoperability and clinical decision support across multiple clinical and coverage policy content sources on Salesforce Health Cloud

Cadalys announced it has updated the CareIQ suite for Salesforce Health Cloud available on Salesforce AppExchange, providing health payers and providers new ways to address technology challenges impacting their ability to deliver access to timely, quality care for members and patients. At the core of CareIQ’s Winter ‘22 release is an integrated content engine that fully embeds evidence-based guidelines and medical coverage policies into automated workflows for highly efficient care planning and utilization management. By consolidating and unifying previously siloed content sources, CareIQ’s Winter ’22 release supports the move toward interoperability by standardizing data access and removing much of the grunt work and guesswork inherent in costly areas like prior authorization.

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“We are excited that Cadalys is continuing to innovate on AppExchange as they enable healthcare companies to unify care management”

CareIQ for Salesforce Health Cloud

The flexibility and scalability of this content-agnostic approach supports the unique organizational requirements of both commercial and government-sponsored health plans and their provider networks, who can now benefit from having the clinical and operational content they rely on in one centralized location, eliminating much of the manual, time-consuming processes traditionally required to evaluate medical necessity.

Content is presented in an intuitive user interface informed by the way clinicians and staff work in day-to-day settings with actionable views that guide users through the steps in their workflow and simplified templates and wizards that facilitate faster, more accurate decision support.

Key enhancements include:

• Unified care planning: CareIQ now delivers embedded support of National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), Centers for Medicare & Medicaid Services (CMS), and Healthcare Effectiveness Data and Information Set (HEDIS) standards to streamline and automate assessments for interdisciplinary care teams. Content is easily customized to meet unique organizational requirements like state-mandated regulatory compliance standards.
• Streamlined utilization management: Clinicians receive intelligent recommendations that automate the process of researching and applying the correct policies and guidelines based on attributes like line of business, geography, authorization request type and procedure/diagnosis codes. This removes much of the redundancy and manual work associated with the clinical review and documentation process and reduces excessive back and forth between payers and providers.

By extending the power of Health Cloud to make more clinical and operational content sources actionable, CareIQ’s Winter ’22 release aims to bring the value of digital transformation to touch a broader segment of member and patient populations.

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Comments on the News

• “We were proud to have our CareIQ technology recently named as the Salesforce Partner Innovation Award winner for excellence in Healthcare & Life Sciences, demonstrating our commitment to delivering customer success,” said Marc Friedman, Cadalys founder and CEO. “Our Winter ’22 release furthers our mission to empower a wider network of health plans and provider systems to improve patient outcomes at scale. For Cadalys and our clients, interoperability isn’t just a buzzword: it’s an attainable, measurable goal made possible with flexible, easy-to-use solutions designed to directly address the most pressing needs of healthcare companies in their quest for true digital transformation.”
• “We are excited that Cadalys is continuing to innovate on AppExchange as they enable healthcare companies to unify care management,” said Woodson Martin, GM of Salesforce AppExchange. “AppExchange is constantly evolving to meet the needs of our customers, and we love watching our partners evolve alongside us.”