Health plans face mounting pressure to improve quality outcomes, control costs, and prove program ROI, all while managing increasingly complex member populations with limited resources. CareIQ delivers a comprehensive care management solution that addresses these challenges head-on by combining evidence-based clinical intelligence with enterprise platform capabilities.
Built on ServiceNow and powered by MCG clinical guidelines, CareIQ provides your care management teams with the tools they need to make consistent, high-quality decisions at scale. The industry standard Problem-Goal-Intervention framework guides clinicians through structured assessments, evidence-based interventions, and measurable outcomes tracking. Automated workflows eliminate manual processes, reduce administrative burden, and ensure compliance with regulatory and accreditation requirements including NCQA and URAC standards.
What sets CareIQ apart is the enterprise platform advantage. Unlike standalone care management systems, CareIQ integrates seamlessly with your broader ServiceNow ecosystem, connecting care decisions with member services, claims data, provider networks, and operational workflows. This unified approach delivers complete member visibility, eliminates data silos, enables cross-functional collaboration, and provides real-time analytics that demonstrate program effectiveness. The result: improved HEDIS scores, reduced avoidable admissions, better member outcomes, and measurable cost savings that prove the value of your care management programs.
The CareIQ Experience is a clinical assessment solution that enables healthcare organizations to create, manage, and administer patient assessments.
CareIQ Builder Experience:
- Assessment Authoring: Create multi-section clinical assessments
- Conditional Logic: Implement triggered questions based on answer selections
- Clinical Integration: Link answers to problems, goals, interventions, and guidelines
- Version Management: Maintain multiple versions with draft/published workflows
- Library Integration: Reuse pre-validated content from CareIQ library
- Real-time Validation: Test assessments before deployment
CareIQ Viewer Experience:
- Patient Assessment: Launch and complete clinical assessments
- Draft Management: Save in-progress assessments for later completion
- Assessment Submission: Submit completed patient assessments
- Re-Assessment: Launch new assessments for previously assessed patients
- Response Storage: Store assessment responses in x_cadal_careiq_e_0_assessment_responses
- History Tracking: Maintain complete audit trail of all assessments and responses
Initial Realease
Healthcare and Life Sciences Service Management (HCLS SM)