Telligen works on a number of initiatives aimed at improving the care provided to Medicare beneficiaries.
Telligen is the Medicare Quality Improvement Organization (QIO) for the states of Iowa and Illinois, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The QIO Program is the largest federal program dedicated to improving health quality at the community level. We support CMS in their efforts to improve health for all Medicare beneficiaries, ensuring the right care at the right time, every time. During our current contract with CMS, Telligen is working with hospitals, providers, nursing homes, health care systems, home health agencies, hospices and comprehensive outpatient rehabilitation facilities on a number of initiatives aimed at improving the care provided to Medicare beneficiaries. Each of Telligen's initiatives will result in:
- Better Patient Care
- Better Population Health
- Lower Healthcare Costs
How Telligen Helps Providers
Telligen improves beneficiary care through the delivery of education and quality improvement resources and information. We provide technical assistance, resources and tools to numerous providers and facilities throughout Illinois and Iowa to break down organizational, cultural and geographic barriers by facilitating large-scale learning and action networking opportunities, collaborative projects, online learning, best practice sharing, shared tools and peer-to-peer education. Working in this way, we deliver improvement initiatives that can be customized to suit individual facilities, practices and communities and accelerate the speed at which our providers and health care systems can learn and implement change.
How Telligen Helps Beneficiaries
While all of Telligen's initiatives with providers and health care systems are aimed at improving care for Medicare beneficiaries, Telligen further acts as an advocate for Medicare beneficiaries and their families by directly assisting patients and families, assuring that care is both person and family centered.
Case Review:Telligen conducts reviews of patients' medical information to determine whether the care and services provided to beneficiaries during an episode of care was reasonable, necessary, met professionally recognized standards and provided in the appropriate setting.