About
InfoMC's Incedo platform is a fully integrated enterprise care management system built for organizations operating in value-based care environments. Serving Medicare Advantage plans, Managed Medicaid programs, Managed Behavioral Health Organizations, Employee Assistance Programs (EAPs), accountable care organizations, and dual-eligible populations, it provides the infrastructure to address whole-person health across medical, behavioral, and social drivers. The platform includes purpose-built modules for Care Management, Behavioral Health, Utilization Management, CMS-0057 Compliance, and Employee Assistance/Work-Life programs. It facilitates high-value clinical and administrative decisions while enabling seamless collaboration across the care ecosystem — from care coordinators and clinicians to payers and community networks. InfoMC supports organizations in scaling operations without proportionally scaling costs, leveraging automation and workflow tools to reduce administrative complexity. Its flexibility and scalability are evidenced by customer success stories, such as a Florida Medicare Advantage plan that grew to 11,000 members in two years and ranked as the fastest-growing plan in its county two consecutive years running. The platform is designed to support compliance with CMS final rule updates around prior authorization and utilization management, turning regulatory requirements into competitive advantages. With next-generation microservices architecture, Incedo is positioned to help healthcare organizations modernize and future-proof their care delivery operations.
Key Features
- Whole-Person Care Orchestration: Coordinates medical, behavioral, and social determinants of health across the full care ecosystem to address member needs holistically.
- Utilization Management: Streamlines prior authorization and utilization management workflows while maintaining compliance with CMS regulatory requirements including CMS-0057.
- Behavioral Health Module: Purpose-built tools for managed behavioral health organizations to optimize clinical outcomes and administrative efficiency.
- Employee Assistance & Work-Life Programs: Dedicated functionality to support EAP programs, improving financial performance and member engagement.
- Microservices Architecture: Next-generation technology foundation enabling scalability, flexibility, and seamless integration across care management workflows.
Use Cases
- A Medicare Advantage plan uses Incedo to manage complex member care plans, coordinate cross-functional clinical teams, and comply with CMS prior authorization requirements.
- A Managed Medicaid organization leverages the platform to deliver whole-person care by integrating medical, behavioral health, and social determinants of health data for their members.
- A Managed Behavioral Health Organization uses the behavioral health module to streamline utilization management, track clinical outcomes, and reduce administrative overhead.
- An Employee Assistance Program provider uses the EAP/Work-Life module to manage cases, track member engagement, and improve financial performance of their programs.
- An accountable care organization uses Incedo to advance value-based care initiatives by enabling data-driven decisions and improving collaboration across their provider and payer network.
Pros
- Proven Scalability: Demonstrated ability to support rapid plan growth — customers have scaled to thousands of members and ranked as fastest-growing plans in competitive markets.
- Comprehensive Module Coverage: All-in-one platform covering care management, behavioral health, utilization management, compliance, and EAPs, reducing the need for multiple point solutions.
- Regulatory Compliance Ready: Built-in CMS-0057 compliance support helps organizations stay ahead of evolving regulatory requirements without custom development.
Cons
- Enterprise-Only Pricing: Designed exclusively for large health plans and managed care organizations — not suitable for small practices or individual clinicians.
- Implementation Complexity: As a fully integrated enterprise platform, onboarding and configuration can require significant time, resources, and organizational change management.
Frequently Asked Questions
What types of organizations is InfoMC Incedo designed for?
InfoMC Incedo is built for Medicare Advantage plans, Managed Medicaid programs, Managed Behavioral Health Organizations, Employee Assistance Programs, accountable care organizations, health systems, community-based networks, and dual-eligible programs.
Does Incedo support CMS regulatory compliance?
Yes. The platform includes a dedicated CMS-0057 Compliance module to help health plans and payers meet CMS final rule requirements around prior authorization, utilization management, and interoperability.
How long does implementation typically take?
Implementation timelines vary by organization size and complexity. A notable customer case study showed InfoMC successfully launching a plan in just 45 days from contract to go-live, demonstrating the platform's ability to accommodate accelerated timelines.
What makes Incedo different from other care management platforms?
Incedo is a fully integrated platform — rather than a collection of siloed tools — that addresses whole-person care across medical, behavioral, and social drivers. Its microservices architecture also provides modern flexibility and scalability for enterprise-level growth.
Does InfoMC support behavioral health programs specifically?
Yes. InfoMC offers a dedicated Behavioral Health module optimized for managed behavioral health organizations, supporting clinical workflows, utilization management, and outcome tracking specific to behavioral health populations.
