Cadalys CareIQ
API-enabled, intelligent care coordination for Salesforce, ServiceNow, and any other modern patient management platform.
Accelerate the Path to Digital Health With Automated, Evidence-Based Solutions
CareIQ extends your patient management system with our API-enabled, AI-powered automation and evidence-based clinical decision support platform, delivering a unified experience for care management and utilization management. Our solution seamlessly integrates with industry-leading enterprise platforms, content providers and guidelines, to eliminate manual processes and accelerate appropriate care coordination enabling your nurse care practitioners to operate at the top of their license.
Cadalys CareIQ supports the move toward interoperability for payers and providers by not only standardizing access to multiple content sources, but also making that data actionable in the same system. By empowering healthcare organizations to fully operationalize clinical data in a seamless, intuitive user experience, we deliver a highly efficient approach to leveraging and applying medical policy content and evidence-based guidelines in day-to-day workflows.
Utilization Management
CareIQ Utilization Management drives up to 40% faster staff training while enhancing decision accuracy and reducing your organizational risk profile by standardizing and optimizing your care coordination processes with embedded content from custom medical coverage policies and third party evidence-based guidelines directly into your chosen clinical workflow platform, taking the grunt work and guesswork out of evaluating medical necessity.
Our purpose-built solution presents clinical review data in a logical and consumable experience that speeds up interpretation and application of utilization management criteria so clinicians can focus their attention on serving members and patients.
- Eliminate swivel chair processes by consolidating clinical review content in a single pane of glass
- Enhance payer-provider collaboration to ensure appropriate, timely care and reduce denials
- Reduce cost per transaction and improve turnaround times
See how clinicians and staff are intuitively guided through the steps in the utilization review process with fully integrated evidence-based criteria from MCG shown in this quick demo.
Care Management
CareIQ Care Management drives up to 40% faster staff training and saves nurses up to 400 hours annually by seamlessly integrating evidence-based guidelines within your care coordination platform to deliver streamlined, automated assessment and care coordination workflows in a highly intuitive experience to inform clinical decision support.
- Custom curation of assessments and evidence-based guidelines delivers flexible, scalable support of multiple content sources for Commercial, Medicare and Medicaid payers to drive consistent, compliant care planning processes
- Delivers a seamless, highly efficient, and personalized care management process by removing the manual, burdensome steps traditionally required to build and tailor care plans
- Embedded support of NCQA, URAQ, CMS, and HEDIS standards in actionable, intuitive views to speed up complex case management and simplify the process of ensuring regulatory compliance from multiple data and content sources
See how CareIQ empowers care managers with fast access to evidence-based guidelines, guided assessments and care plan templates in this quick demo illustrating how MCG care guidelines are surfaced in a workflow.
CareIQ Prior-Authorization Automation
Cadalys CareIQ is a key part of best practice prior authorization automation and human driven workflows. incorporating provider facing medical necessity inquiries from MCG's evidence based guidelines or your own proprietary medical policies, CareIQ further expedites the time sensitive prior-authorizations requests to rapid determinations.
Proven Prior-Authorization Automation Implementation Experience
The Cadalys Delivery team has extensive experience implementing successful prior-authorization automation capabilities for large payers and can bring that experience to your team too.
Behavioral Health
CareIQ unifies care management and utilization management workflows on your clinical workflow platform to transform the way clinical and administrative information is exchanged between payers and providers, facilitating a whole-person approach for more efficient care coordination and faster approval cycles for behavioral health services. By fully embedding evidence-based guidelines (such as SUD level of care criteria) and mental health assessments (such as PHQ9, GAD7, CIWA and COWS) with a 360-degree view of the patient, CareIQ surfaces co-occurring complex health conditions impacting both physical and behavioral health factors to enable personalized care.
- Evidence-based, assessment driven care planning to address medical and mental health comprehensively
Support pre-authorization, concurrent review and appeals in cases such as inpatient admission, outpatient rehab and substance use disorders
Tighter and more efficient collaboration between payers and providers for seamless decision support and patient handoff
Population Health and SDoH
Care Management and Population Health programs must account for members’ social determinants and barriers to care. Automated identification of barriers and evidence-based interventions is critical in understanding a member’s needs and creating a compliant personalized care plan. Further, streamlined workflow for referring members to social care providers closes the loop on preventing SDoH from impacting care plan outcomes negatively.
Member/Patient Engagement
CareIQ provides patient/member-facing collaboration tools to ensure communication is open and transparent, keeping members engaged to maximize program efficacy.
Clinician-Friendly Administration
Cadalys CareIQ enables technically-oriented clinicians to administer your MCG and custom assessments and policies. You won't need a technical or developer resource to implement, configure or maintain your assessments and policies, saving you a significant amount of time, money and risk.
Rapid Time To Value
Due to Cadalys CareIQ's clinician-friendly interface, you won't spend hundreds or thousands of hours translating requirements to a technical resource. Instead, your own clinicians will be enabled to quickly integrate your MCG content, if applicable, and deploy any custom policies you might have. Go live in days, and easily maintain your content over time.
Pre-integrated with Salesforce
Cadalys is pre-integrated with the Salesforce Health Cloud, Service Cloud, and Sales Cloud platforms, giving you maximum flexibility to bring powerful care coordination workflows into your organization no matter which Salesforce cloud you are currently using. Additionally, AgentForce is pre-integrated with Cadalys CareIQ assessment responses and other data captured as part of your care coordination workflows, enabling you to continuously expand your organization's agent automation on the AgentForce platform. Optimize your Salesforce experience for cost savings, or maximum flexibility with Cadalys CareIQ.
Pre-integrated with ServiceNow
Cadalys will be launching our pre-integrated app for ServiceNow, enabling you to bring powerful care coordination workflows into your existing ServiceNow platform. Whether you're using ServiceNow for Clinical Device Management, Member Services, Provider Network Management, or building a solution using their powerful NOW platform. Additionally, Now Assist will be pre-integrated with Cadalys CareIQ assessment responses and other data captured as part of your care coordination workflows, enabling you to continuously expand your organization's agent automation on the Now Assist platform.
Pre-integrated with MCG Evidence-Based Care Guidelines
Cadalys is a Premium MCG Partner. This means that Cadalys CareIQ meets or exceeds all required and recommended certification items on all of our MCG solution integrations, enabling you to fully utilize the depth and breadth of your MCG content library. Additionally, with our powerful version control and clinician-friendly administrator user interface, CareIQ enables you to customize and maintain any content.
Compliance & Governance
Maintain regulatory compliance and clinical governance with built-in controls and audit trails. Comprehensive reporting and documentation capabilities support your compliance requirements. As a SOC 2 TYPE 2 certified SaaS provider, you can trust that Cadalys CareIQ will securely deliver the business outcomes you need.
Streamlined Pricing
Experience transparent, member-based pricing that scales with your growth. Our simplified licensing model eliminates complex calculations and hidden costs, making robust Care Coordination workflow accessible to organizations of all sizes.
"This technology is a massive step forward and feedback from nurses is very positive"
- Dr. Victor Fernandez, Medical Senior Manager, Americas IHT-TH&N Medical Director
Check out our Purpose-Built Healthcare solutions today
Excellent ITSM tool
Cadalys being an ITIL based tool has helped us to continue to grow our best practices and policies and procedures within our IT Department. It has been a pleasure working with the Cadalys team and we look forward to implementing future product enhancements, like integrating our Tanium application into the CMDB. I would highly recommend Cadalys Service Management to any organization who is looking for a user friendly, and administrative friendly ITSM tool.
Excellent Product with Bright Future
We have worked with Cadalys for many years and use Cadalys Service Management for incidents, problems, service requests (for multiple departments), and IT change requests. As we mature and expand our use cases for Cadalys Service Management, Cadalys is always there to listen to our ideas and help us make good architecture and design decisions that align with the long-term vision of the product and meet our business needs.
Great People Great Product!
We teamed up with Cadalys Service Management for our Enterprise and IT Service Management needs, and it's been fantastic. They've provided top-notch, 5-star service, and their product has been spot on. Their team is quick to follow up on everything we ask. We recommend Cadalys for any service management needs you might have.
Wonderful organization and excllent products to meet service management needs.
We engaged Cadalys Service Management to meet our Enterprise and IT Service Management needs. Cadalys has been a wonderful organization to work with and has provided us with 5-star service to say the least. Over a year down the line, I can safely say that the software has met or exceeded our needs, and their team has diligently followed up with all our requests and continue to work with us to improve our service offerings. We recommend working with Cadalys to meet any of your service management needs.
Great IT Service Management Partner and Great Product!
We have been working with Cadalys Service Management to meet our joint customer’s IT Service Management needs. Cadalys has been a wonderful organization to work with and has provided us with 5 star implementation support. The product is meeting or exceeding our customer’s expectations and needs, and their team has been very diligent and professional. We would 100% recommend Cadalys Service Management for anyone looking for a robust and scalable ITSM solution that is Salesforce native!
How Telenet experiences Cadalys
In our journey to become the preferred Managed Service provider for the B2B market in Belgium, Telenet B2B selected Cadalys as our ITIL-ready ITSM fundament to streamline and optimize our ICT & telco processes, working seamlessly with our Salesforce tooling. Cadalys is extremely helpful in our journey and knowledgeable. We are very happy to work with Cadalys as one of our strategic providers.