RETHINKFUTURES

Downloadable application programming interface (API)-based software for healthcare payors (e.g., Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), healthcare service contractors, state insurance agencies, claim handlers), healthcare payor entities/organizations, and healthcare plans to support (i) clinical decision-making, (ii) healthcare provider network management, and (iii) members of such healthcare payors, healthcare payor entities/organizations, and healthcare plans with children diagnosed with autism and other behavioral health conditions, including in connection with assisting with determinations of medical necessity for prior authorizations, providing and assisting with review of information relating to healthcare provider/clinician treatment and therapy programs and patient progress to determine appropriate levels of care and alleviate risk, as well as review of clinical reviews and claims data (such as authorization status, progress, clinical outcomes, and benchmarks) in connection with development of performance-based contracting for healthcare providers and clinicians, and clinical case manager assessments regarding care progress for children diagnosed with autism and other behavioral health conditions

Coaching, support, and educational services for healthcare providers/clinicians, caregivers, and parents of children diagnosed with autism and other behavioral health conditions via application programming interface (API)-based platform providing, or enabling (i) personal digital, online, or teleconference sessions with board-certified behavioral analysts or clinicians to assist and provide information to children diagnosed with autism and other behavioral health conditions and their families or caregivers, and (ii) videos and other educational materials for children diagnosed with autism and other behavioral health conditions and their families or caregivers

Software as a service (SAAS) for healthcare payors (e.g., Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), healthcare service contractors, state insurance agencies, claim handlers), healthcare payor entities/organizations, and healthcare plans to support (i) clinical decision-making, (ii) healthcare provider network management, and (iii) members of such healthcare payors, healthcare payor entities/organizations, and healthcare plans with children diagnosed with autism and other behavioral health conditions, including in connection with assisting with determinations of medical necessity for prior authorizations, providing and assisting with review of information relating to healthcare provider/clinician treatment and therapy programs and patient progress to determine appropriate levels of care and alleviate risk, as well as review of clinical reviews and claims data (such as authorization status, progress, clinical outcomes, and benchmarks) in connection with development of performance-based contracting for healthcare providers and clinicians, and clinical case manager assessments regarding care progress for children diagnosed with autism and other behavioral health conditions; Platform as a service (PAAS) for healthcare payors (e.g., Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), healthcare service contractors, state insurance agencies, claim handlers), healthcare payor entities/organizations, and healthcare plans to support (i) clinical decision-making, (ii) healthcare provider network management, and (iii) members of such healthcare payors, healthcare payor entities/organizations, and healthcare plans with children diagnosed with autism and other behavioral health conditions, including in connection with assisting with determinations of medical necessity for prior authorizations, providing and assisting with review of information relating to healthcare provider/clinician treatment and therapy programs and patient progress to determine appropriate levels of care and alleviate risk, as well as review of clinical reviews and claims data (such as authorization status, progress, clinical outcomes, and benchmarks) in connection with development of performance-based contracting for healthcare providers and clinicians, and clinical case manager assessments regarding care progress for children diagnosed with autism and other behavioral health conditions