Healthcare payer technology
A multi-tenant platform built for US and Puerto Rico payers — interoperable by design, secure by default, and shaped by decades inside payer operations.
The platform
One foundation that ties clinical, administrative and member data together — so plans can meet interoperability mandates and run leaner operations at the same time.
Native FHIR R4 and Da Vinci prior-authorization workflows alongside the X12 and HL7 v2 feeds payers already run.
Each health plan or TPA runs in its own isolated tenant on shared infrastructure — faster onboarding, lower cost to operate.
Designed around HIPAA, HITECH and HITRUST expectations, for Medicare Advantage, Medicaid and commercial lines of business.
Products
The core payer operations suite for health plans and TPAs.
Care analytics that turn claims and clinical data into a complete member view.
Remote patient monitoring that keeps care teams connected between visits.
An electronic medical record built to exchange data cleanly with payers.
Telehealth that runs standalone or embeds into member and provider portals.
[ONE-LINE DESCRIPTION OF THE CAREHAIV HUB]
About
CareSolutions.tech was founded by Dr. Dietrich Block, MBA, MHA, eFACHDM, who brings nearly four decades of experience in US payer operations across Medicare Advantage, Medi-Cal and commercial plans.
He is a co-author of a patent in Medicare Advantage risk adjustment and an inaugural Executive Fellow of the American College of Health Data Management. That depth in FHIR, X12, HL7 and clinical interoperability is built into every product.
Tell us about your plan or TPA and we'll set up a walkthrough.
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