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Empowering Tailored Care Management with MediSked by CaseWorthy
Element by Arkhe Consortium Health is a clinically integrated network (CIN) based in Charlotte, North Carolina, bringing affordable, high‑value technology to providers serving underserved and rural communities.
As part of North Carolina’s tailored care management (TCM) program, Element acts as an administrative and technology backbone for small providers who could not independently afford or implement enterprise‑level platforms like MediSked.
Element supports 24 provider organizations, more than 35,000–40,000 covered lives, and over 100 care managers across participating agencies. By aggregating demand and centralizing implementation, training, and help desk support, Element enables agencies to participate fully in TCM and value‑based care programs. We spoke with Jordan Toledo, Senior Director of Operations, about Element’s experience with CaseWorthy.
Metrics
24
provider organizations supported across the CIN
40k+
covered lives managed on the platform
100+
care managers
2–3x
increase in follow‑up after hospitalization (FUH) gap closure for many providers
Organization Background
Element by Arkhe Consortium Health is a clinically integrated network supporting providers who serve underserved and rural communities in North Carolina. Many participating agencies historically relied on paper‑based or highly manual processes to manage complex member needs. By centralizing implementation, training, and help desk support for MediSked, Element helps these organizations participate in TCM and value‑based care without needing large internal IT teams.
The Challenge
Element began evaluating technology while the CIN was still forming, initially leaning on network provider Pivotal Health to lead implementation for the newly created organization. With a small internal team, Element needed a partner to handle most configuration and technical setup typically managed by individual providers.
Element faced several operational and compliance challenges in the TCM environment:
- Tracking every member touchpoint (calls, care team interactions, and follow‑ups) and reporting on that activity for value‑based care,
- Supporting conflict‑free care management with strict, role‑based “minimum necessary” access,
- Managing rapidly changing member panels, with tens of thousands of covered lives changing weekly in BA files, and
- Ensuring care managers completed every required documentation step, without skipping compliance‑critical fields.
At the same time, Element needed a solution that already understood North Carolina’s TCM regulations, rather than a generic platform requiring heavy customization and education.
Why Element Chose MediSked by CaseWorthy
Element selected MediSked by CaseWorthy as its care management information system at a time when other CINs in the state had already built or adopted their own platforms and were several years ahead. To keep pace, Element needed a partner that was ready to go and deeply familiar with TCM policy, documentation standards, and PHI handling.
A major deciding factor was the expertise and approach of the MediSked team. Element’s leadership had a very positive experience with CaseWorthy representatives and their knowledge of compliance and TCM requirements, which significantly reduced the learning curve of adopting a specialized care management platform. MediSked also accommodated Element’s unique CIN structure (a central admin account with separate programs for each provider) through nuanced security and configuration, allowing the network to roll out quickly across multiple agencies.
Implementation, Support, and Day‑to‑Day Use
Because Element’s internal team was lean, MediSked took on much of the configuration and implementation work that would typically fall to individual providers. As Element matured, it built a robust support function around the platform, becoming a near-24/7 resource for participating agencies.
Element’s help desk and IT team now reset passwords, manage user access, lock out departing staff, onboard new staff, and provide ongoing training on MediSked features. Supervisors also receive targeted coaching support when they identify performance or documentation gaps in care manager workflows. This CIN‑level support structure allows providers with high turnover or limited IT capacity to use MediSked effectively and take full advantage of its capabilities.
For care managers, MediSked has become the single source of truth for member information and tailored care workflows. They use the platform to complete all required documentation, including assessments, care plans, and actionable goals, capture key clinical and non‑clinical data such as primary care provider information and recent hospitalizations, and respond to automated workflows triggered by ADT alerts or completed tasks that guide “what needs to happen next.”
From an oversight perspective, supervisors and directors rely on MediSked’s role‑based access and reporting to manage performance and compliance. They review submitted and billed claims, task reports, and encounter reports to understand how care managers and extenders are performing, identify outliers, and target additional training, all without exposing staff to data they don’t need to see.
Key Capabilities That Addressed Element's Pain Points
Automated Ingestion of BA Files and ADT Alerts
With nearly 40,000 covered lives, manually updating member lists is not feasible. Automatic BA file ingestion keeps member rosters, assignments, and caseloads current, while ADT alerts notify care managers of hospitalizations in near real time, helping prevent members from being missed and supporting timely outreach.
Workflow‑Driven, Comprehensive Assessments
Automated goal and task creation tied to the comprehensive assessment ensures care managers cannot skip critical steps. The system enforces completion of required fields and sequences, giving supervisors and agency leaders confidence that staff remain in compliance without intensive oversight.
Role‑Based Access and CIN‑Level Configuration
MediSked’s granular roles and program structure allow Element to uphold the “minimum necessary” standard while still giving supervisors the visibility they need to manage teams. The CIN’s admin‑plus‑provider‑program model is fully supported in the platform.
“Unassigned” User for Bulk Reassignment
A recent enhancement created an “unassigned” user to which incoming members without a clear owner can initially be assigned. Providers can then bulk reassign those members, replacing a manual, member‑by‑member process. Agencies have responded very positively, and this enhancement has significantly reduced administrative friction.
Impact: Efficiency, Compliance, and Outcomes
Many of Element’s providers previously relied on manual, paper‑based systems where documenting everything was difficult and information was hard to store and retrieve. MediSked’s automation and guided prompts help ensure key questions are asked, documented, and shared appropriately with members and their primary care providers.
One of the clearest areas of impact has been follow‑up after hospitalization (FUH). Over the past six to eight months, many Element providers chose FUH as a focus area for their continuous quality improvement projects and used MediSked’s data insights and HEDIS‑aligned measures for value‑based care. Multiple agencies have doubled or tripled their engagement in closing FUH gaps, a change Jordan attributes largely to timely ADT alerts, email notifications, and structured follow‑up workflows within the platform.
By surfacing prior hospitalizations, triggering the appropriate FUH workflow steps, and alerting care managers at the right time, MediSked has helped providers act quickly and consistently, directly supporting better outcomes and stronger performance under value‑based contracts.
Supporting Social Determinants of Health
MediSked has also strengthened how Element providers address social determinants of health (SDOH). The platform guides care managers through assessments that incorporate SDOH‑related questions and prompts them to consider whether information has been shared with members and PCPs.
By putting these steps clearly in front of care managers, MediSked reinforces an engagement model where members feel heard and supported and where staff can better identify social needs, such as housing, food, and transportation, as well as require referrals and follow‑up.
Scaling the Network and Advancing Data‑Driven Care
Element implemented roughly 15–16 additional providers on MediSked in 2025 alone, a pace that Jordan remarks is extroardinary given the complexity involved. Providers are able to go live quickly and hit the ground running, supported by MediSked’s configuration and Element’s CIN‑level training and support.
Looking ahead, Element is especially excited about CaseWorthy CORE, a data lakehouse, and the growing emphasis on data‑informed care. CINs in North Carolina are increasingly tasked by the state to provide network‑level analytics. MediSked’s evolving reporting will allow Element to pull network‑wide data, drill down by provider, identify areas for improvement, track progress over time, and elevate success stories and best practices from high‑performing agencies.
