How can Payer-Provider Collaboration help you?

Collaboration is becoming an integral part of healthcare in the United States. Payers, hospitals, physicians and employers all benefit when information is shared in a format that is accessible and easy to understand. For years, each side has worked internally to remove inefficiencies, reduce costs and improve quality outcomes. Despite these efforts, ongoing challenges—including payment discrepancies, utilization management policy and practice pattern variation—continue to impair payer-provider relations, adding unnecessary friction and costs. With a renewed focus on cost reduction and quality measurement across the entire U.S. healthcare system, the need for improved transparency and collaboration between healthcare payers and providers has become more important than ever before.

MedeAnalytics Collaborative Solutions: MedeAnalytics delivers web-based performance management solutions that enable healthcare payers and managed care organizations to aggregate claims, pharmacy, demographics, authorization, referrals, and call center data into a unified analytics portal that drives both internal decision making and collaboration with provider partners. Key performance indicators, dashboards and benchmarking statistics are shared between payers and providers in an interactive web-based application that increases transparency into administrative costs, practice pattern variations and clinical quality initiatives.

Featured Payer-Provider Collaboration Resource