FabrixMed for Health Plans
Close care gaps. Improve access. Reduce avoidable cost.
Use CareScreen to find members who need additional care and ConsultBridge to route specialist review, closing high-value gaps while creating measurable ROI across quality, cost, and network performance.
Your setting first
You do not need to build a new wing for every specialty.
When the right specialist is not physically down the hall, your team needs a dependable path to the next expert. FabrixMed helps your organization create that path through a configured workflow, independent clinical expertise, and a documented next step.
In practice
Move members from identified gaps to completed care
An illustrative workflow for this organization type.
Situation
The plan identifies a priority gap
A member is overdue for screening, diagnostic review, or specialty follow-up.
Action
Activate a local care pathway
The member is routed through a participating provider or partner site and the finding is sent for review.
Outcome
Track what was completed
The plan can see screening, follow-up, and escalation activity instead of only sending another referral.
Potential outcomes to track
The right measures depend on your workflow, staffing, clinical coverage, and patient population.
The challenge
Health plans carry the financial risk when members do not receive timely, appropriate care. Care gaps persist because the healthcare system is fragmented - the result is worse outcomes, higher claims cost, weaker quality performance, and avoidable leakage of plan dollars.
What FabrixMed enables
Care gap closure programs
Deploy workflows that identify members who need screening, diagnostic review, or specialty follow-up.
- Diabetic retinal exams
- Cardiovascular risk triage
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- Hypertension-related follow-up
- Behavioral health access
- Chronic disease monitoring
- Post-discharge specialty follow-up
Remote specialist access
Connect members or local care teams with remote specialists for synchronous or asynchronous consultation.
- Transportation and geographic barrier reduction
- Network capacity expansion
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- Dermatology review
- Specialty follow-up coordination
Diagnostic capture and interpretation
Capture clinical data locally and route to qualified specialists for remote review and actionable guidance.
- Retinal imaging
- ECG review
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- Wound imaging
- Slit lamp imaging
- Specialty-specific diagnostic data
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Risk-based member triage
Structured triage workflows that direct members to the right level of care based on clinical need.
Documentation and workflow support
Clean workflows that support reporting, follow-up, defensibility, and quality-program alignment.
What this can help improve
Organizations use these workflows to pursue practical operating improvements. The right result depends on your care model and clinical coverage.
Close high-value care gaps
Target members overdue for screenings, diagnostic review, or specialty follow-up - especially for quality measures tied to chronic disease and preventive care.
Improve quality and performance metrics
Better access, documentation, and follow-up support stronger quality performance across plan priorities.
Reduce avoidable utilization
Earlier specialty input and diagnostic review help prevent unnecessary emergency department visits, delayed complications, and avoidable downstream cost.
Detailed workflow for implementation teams
Use this as a starting point for workflow design, staffing, and escalation conversations.
Show implementation steps
A health plan identifies a target member population or care gap.
Members are routed into a FabrixMed-enabled workflow.
Clinical data is captured through a local provider, partner site, or diagnostic device.
The case is routed to the appropriate specialist or interpretation partner.
Findings and recommendations are returned to the care team.
The member receives follow-up, escalation, or monitoring based on clinical need.
The plan receives a more structured pathway for quality improvement, cost control, and care coordination.
Turn earlier screening and specialist review into ROI
Talk to FabrixMed about health plan solutions that close gaps, improve quality performance, reduce avoidable cost, and expand access to specialist review.