Provider Network Management Analytics enables network management staff to align provider incentives with plan goals and monitor network performance. Whether addressing appropriateness of place of care ($1.55 to $2.45 PMPM), network leakage ($0.20 to $0.45 PMPM), physician efficiency ($0.45 to $0.60 PMPM), or hospital quality ($0.25 to $0.35 PMPM), clients who have implemented Provider Network Management Analytics have experienced substantial savings.
Provider Network Management Analytics is the only solution on the market that connects provider relations expertise with a robust, easy-to-use performance management platform, ensuring high adoption rates and therefore results. Network managers and provider relations personnel are able to make superior decisions regarding contracting and pay-for-performance.
MedeAnalytics aggregates claims, membership, provider demographics and other data to provide network management staff with a centralized, robust view of care delivery and quality. Combining these disparate data sources and generating sophisticated, composite performance measures allows health plans to ensure effective, efficient, quality care at the lowest price for their membership.
Provider Network Management Analytics is delivered via a web-based performance management platform and supported by experienced healthcare professionals to ensure rapid and sustainable results. MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices and payers—to ensure accountability and improve financial, operational and clinical outcomes.