One Platform for
All of Managed Care

Administer care management, utilization management, appeals and grievance, and population health analytics all in one system.

See ACUITYnxt in Action

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40+ Years in Managed Care

Everything Your Team Manages, All in One Platform

Care Management

ACUITYnxt is a member-centered service that identifies individuals who may benefit from additional support and coordinates interventions across the continuum of care. Clients can build custom assessments that auto-trigger care plans, reconcile medications, and monitor health outcomes to help members achieve their healthcare goals and improve quality of life. Your team can deliver this with ease.

Utilization Management & Prior Authorization

UM activities may include prior authorization, concurrent review, retrospective review, discharge planning, and coordination of care to support quality outcomes while promoting cost-effective use of healthcare resources. ACUITYnxt streamlines UM activities and supports a Provider Portal with auto-approval rules, medical review processes, turnaround time tracking, and more to help organizations improve efficiency, maintain compliance, and deliver timely decisions for members and providers.

Appeals & Grievances

ACUITYnxt provides a comprehensive appeals and grievances solution designed to optimize workflows with configurable templates, automation, and escalation management to reduce record duplication and clicks. Along with all other modules in the platform, comprehensive tracking and compliance are supported with regulatory requirements.

Population Health Analytics

Powered by Johns Hopkins ACG predictive analytics, ACUITYnxt enables organizations to stratify risk, identify high-risk members, and proactively intervene before health conditions escalate. By leveraging analytics and population health insights, teams can allocate resources where they will have the greatest impact on outcomes and cost of care. ACUITYnxt helps identify care caps, prioritize interventions, and shift from reactive care management to a proactive, data driven approach that improves member health and overall population performance.

Success Story

Results that Matter: From 15 Minutes to 5 Minutes

One client reduced the time required to initiate an appeals and grievance case from 15 minutes to just 5 minutes using automation and standardizing templates. Compliance reporting time was cut in half, audits were simplified, and staff spent more time focusing on member outcomes and resolution.

Every workflow in a separate tool costs time, visibility, and increased burden.

ACUITYnxt brings it all together in one platform.

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