Provider Analytics

Optimize provider networks with actionable insights.

In today’s healthcare environment, building high-value provider networks is vital. Provider Analytics gives you insight into the cost and performance of your providers so you can address value and usage, centers of excellence opportunities, and provider practice patterns. When integrated with other MedeAnalytics solutions, it gives you a single source of truth to improve strategic decision-making across the enterprise.

  • Identify cost and margin outliers

  • Pinpoint opportunities to steer care to higher value providers

  • Build high-performance networks to address client needs

  • Structure bundled payments for care improvements

  • Identify potential provider partners for risk-based arrangements

  • Support your credentialing process with key performance metrics

  • Increase control and visibility over provider performance

  • Aggregation

    Collect comprehensive insights into practice patterns and trends to enhance the management of care.

  • Interpretation

    Build high-value provider networks by establishing tiered values, segmenting providers, and identifying credentialing needs.

  • Transformation

    Ensure network adequacy and accessibility through geospatial analysis.

Identify opportunities to steer care to select providers.

Identify opportunities to steer care to select providers.

Understand provider network relationships to create tiered-value networks.

Understand provider network relationships to create tiered-value networks.

What It Offers

  • Provider segmentation through utilization, specialty, cost, and geography criteria
  • Geospatial analysis and mapping tools
  • Provider credentialing and centers of excellence data
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