Aggregation

  • Aggregation
  • Interpretation
  • Transformation

Our powerful healthcare analytics solutions not only respond to today’s pressing issues—like fee-for-value, expanding Medicaid benefits and accountable care—they make possible proactive, evidence-based management of the challenges and opportunities in today’s health care paradigm. 

Learn more about our platform

For Healthcare Providers

  • Executive Dashboards The Executive Dashboards provide a comprehensive view of the financial health of an organization by bringing critical metrics into a clear focus. The intuitive interface – optimized for the iPad – offers insight into potential problem areas and variations in performance, enabling executives to hone in on the highest priority issues and apply resources where they’ll have the greatest impact.
  • Population Health for Providers The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.
  • Patient Access Patient Access provides critical real-time analytics information during the patient registration and payment clearance processes. With intuitive dashboards and simple step-by-step checklists, front office staff are able to accurately estimate patient cost, improving pre-service collections and reducing back end denials.
  • ICD-10 In preparation for the formidable ICD-10 codes conversion, providers can preview financial and operational impacts, implement physician and coder education where it’s needed most and track patterns through the transition to limit errors and extra costs.
  • Compliance Compliance protects healthcare revenue by pinpointing at-risk areas such as billing processes, coding, and physician practices, and by managing the audit process should one occur. By using the same data mining methodologies that health plans use to conduct audits, we enable healthcare providers to proactively identify and address any potential vulnerability.
  • Revenue Cycle Used by healthcare providers across the country, Revenue Cycle optimizes cashflow and improves collections by bringing complex patient accounting data into a unified view. This solution exposes the black holes, bottlenecks and outliers that result in lost revenue for health care organizations.

For Health Plans

  • Provider Engagement Our Provider Engagement solution brings a whole new level of health plan - provider transparency. By giving a critical view into the claims life cycle, provider networks and value-based contracts, health plans can collaborate with providers to identify the root causes of underperformance, and pinpoint what’s driving high-performing partners as well. Not only does that mean fewer appeals and errors, it means greater member satisfaction and more transparent provider relationships.
  • Population Health for Health Plans Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.
  • Medical and Medicaid Management Medical & Medicaid Management helps you identify critical patterns and correlations that reveal exactly where to find savings. By pinpointing areas to take strategic action, mitigate catastrophic claims and promote better health, health plan staff gain an improved understanding of cost and quality drivers and at-risk populations—fully equipping them to steer quality, timely care toward their highest cost members.
  • Employer Reporting Employer Reporting provides collaborative, high-tech health plan cost analysis tools and reporting that inspire more efficient and better-utilized benefits plans. With unprecedented transparency, health plans can aggregate, analyze and share plan-use analytics with employer groups as well as analyze the plan’s total population internally.
  • Executive Dashboards The Executive Dashboards provide a comprehensive view of the financial health of an organization by bringing critical metrics into a clear focus. The intuitive interface – optimized for the iPad – offers insight into potential problem areas and variations in performance, enabling executives to hone in on the highest priority issues and apply resources where they’ll have the greatest impact.
  • Enterprise Master Patient Index MedeAnalytics Enterprise Master Patient Index (EMPI) creates a single patient record and ensures that patients are represented only once across all systems. It integrates claims and clinical data and uses sophisticated algorithms to enhance patient data accuracy and improve the continuity of care.
  • Patient Engagement & Satisfaction

    In a new, patient-centric healthcare model, quality is measured both clinically and experientially, making patient satisfaction a lynchpin for maximizing reimbursement. When everything impacts the patient experience, you have to examine every opportunity to improve it. Analytics are the critical toolset for sorting through the vast array of patient data from which key satisfaction drivers can be discerned – accurate estimates of self-pay costs, precise and timely billing, key clinical opportunities to improve care and many other ways to make healthcare a better experience.

    • Patient Access

      Patient Access provides critical real-time analytics information during the patient registration and payment clearance processes. With intuitive dashboards and simple step-by-step checklists, front office staff are able to accurately estimate patient cost, improving pre-service collections and reducing back end denials.

    • Employer Reporting

      Employer Reporting provides collaborative, high-tech health plan cost analysis tools and reporting that inspire more efficient and better-utilized benefits plans. With unprecedented transparency, health plans can aggregate, analyze and share plan-use analytics with employer groups as well as analyze the plan’s total population internally.

    • Provider Engagement

      Our Provider Engagement solution brings a whole new level of health plan - provider transparency. By giving a critical view into the claims life cycle, provider networks and value-based contracts, health plans can collaborate with providers to identify the root causes of underperformance, and pinpoint what’s driving high-performing partners as well. Not only does that mean fewer appeals and errors, it means greater member satisfaction and more transparent provider relationships.

    • Population Health for Health Plans

      Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.

    • Population Health for Providers

      The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.

  • Clinical Quality & Safety

    In an outcomes-driven healthcare environment, quality is as much about prevention as it is treatment. MedeAnalytics provides both health plans and providers with solutions that help inform clinical operations across the continuum of care, creating efficiencies, preventing readmissions and reducing avoidable costs while ensuring fee-for-performance viability.

    • Compliance

      Compliance protects healthcare revenue by pinpointing at-risk areas such as billing processes, coding, and physician practices, and by managing the audit process should one occur. By using the same data mining methodologies that health plans use to conduct audits, we enable healthcare providers to proactively identify and address any potential vulnerability.

    • ICD-10

      In preparation for the formidable ICD-10 codes conversion, providers can preview financial and operational impacts, implement physician and coder education where it’s needed most and track patterns through the transition to limit errors and extra costs.

    • Population Health for Health Plans

      Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.

    • Population Health for Providers

      The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.

    • Medical and Medicaid Management

      Medical & Medicaid Management helps you identify critical patterns and correlations that reveal exactly where to find savings. By pinpointing areas to take strategic action, mitigate catastrophic claims and promote better health, health plan staff gain an improved understanding of cost and quality drivers and at-risk populations—fully equipping them to steer quality, timely care toward their highest cost members.

  • Payment Reform & Value-Based Purchasing

    Better patient outcomes at lower costs require an intimate grasp of the total episode of care, including opportunities for improvement and intervention. MedeAnalytics’ solutions bring both health plans and providers the insight—and evidence—to find the perfect balance between spending and driving optimal clinical results.

    • Population Health for Health Plans

      Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.

    • Population Health for Providers

      The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.

    • Provider Engagement

      Our Provider Engagement solution brings a whole new level of health plan - provider transparency. By giving a critical view into the claims life cycle, provider networks and value-based contracts, health plans can collaborate with providers to identify the root causes of underperformance, and pinpoint what’s driving high-performing partners as well. Not only does that mean fewer appeals and errors, it means greater member satisfaction and more transparent provider relationships.

    • Revenue Cycle

      Used by healthcare providers across the country, Revenue Cycle optimizes cashflow and improves collections by bringing complex patient accounting data into a unified view. This solution exposes the black holes, bottlenecks and outliers that result in lost revenue for health care organizations.

  • Health Plan / Provider Transparency

    With today’s fee-for-value models, both health plans and providers have a stake in providing better care at a lower cost. Not only does this take cooperation, it takes collaboration. Our solutions facilitate an unprecedented level of mutually beneficial transparency between health plan and provider to aid this critical relationship.

    • Provider Engagement

      Our Provider Engagement solution brings a whole new level of health plan - provider transparency. By giving a critical view into the claims life cycle, provider networks and value-based contracts, health plans can collaborate with providers to identify the root causes of underperformance, and pinpoint what’s driving high-performing partners as well. Not only does that mean fewer appeals and errors, it means greater member satisfaction and more transparent provider relationships.

    • Population Health for Providers

      The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.

  • Cost Reduction & Process Improvement

    There are countless ways to lower costs and improve the way healthcare is delivered, an increasingly critical issue as more and higher risk patients gain access to treatment. The right analytics address this juggernaut in multiple ways: classifying high-risk populations for intensive—and preventative—care management, improving estimating accuracy and collection rate of self-pay patients, as well as creating visibility into the referral stream.

    • Compliance

      Compliance protects healthcare revenue by pinpointing at-risk areas such as billing processes, coding, and physician practices, and by managing the audit process should one occur. By using the same data mining methodologies that health plans use to conduct audits, we enable healthcare providers to proactively identify and address any potential vulnerability.

    • ICD-10

      In preparation for the formidable ICD-10 codes conversion, providers can preview financial and operational impacts, implement physician and coder education where it’s needed most and track patterns through the transition to limit errors and extra costs.

    • Population Health for Health Plans

      Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.

    • Population Health for Providers

      The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.

    • Medical and Medicaid Management

      Medical & Medicaid Management helps you identify critical patterns and correlations that reveal exactly where to find savings. By pinpointing areas to take strategic action, mitigate catastrophic claims and promote better health, health plan staff gain an improved understanding of cost and quality drivers and at-risk populations—fully equipping them to steer quality, timely care toward their highest cost members.

    • Employer Reporting

      Employer Reporting provides collaborative, high-tech health plan cost analysis tools and reporting that inspire more efficient and better-utilized benefits plans. With unprecedented transparency, health plans can aggregate, analyze and share plan-use analytics with employer groups as well as analyze the plan’s total population internally.

    • Provider Engagement

      Our Provider Engagement solution brings a whole new level of health plan - provider transparency. By giving a critical view into the claims life cycle, provider networks and value-based contracts, health plans can collaborate with providers to identify the root causes of underperformance, and pinpoint what’s driving high-performing partners as well. Not only does that mean fewer appeals and errors, it means greater member satisfaction and more transparent provider relationships.

    • Revenue Cycle

      Used by healthcare providers across the country, Revenue Cycle optimizes cashflow and improves collections by bringing complex patient accounting data into a unified view. This solution exposes the black holes, bottlenecks and outliers that result in lost revenue for health care organizations.

    • Patient Access

      Patient Access provides critical real-time analytics information during the patient registration and payment clearance processes. With intuitive dashboards and simple step-by-step checklists, front office staff are able to accurately estimate patient cost, improving pre-service collections and reducing back end denials.

Consulting Services

  • Consulting Services For Healthcare Providers

    We don’t just sell tools—we offer fully integrated solutions. Our expert consultants are armed with extensive industry experience in process improvement, performance management and technology implementation. That means, not only do they have the insight to help you develop impactful strategies based on analytic evidence, they also possess the know-how to implement them effectively. Whether it’s realizing improvements in quality or anticipating cultural shifts, our consultative services are true collaborations rooted in transparency and consistently exceed expectations.

  • Consulting Services For Health Plans

    We don’t just sell tools—we offer fully integrated solutions. Our expert consultants are armed with extensive industry experience in process improvement, performance management and technology implementation. That means, not only do they have the insight to help you develop impactful strategies based on analytic evidence, they also possess the know-how to implement them effectively. Whether it’s realizing improvements in quality or anticipating cultural shifts, our consultative services are true collaborations rooted in transparency and consistently exceed expectations.