eBook: Realizing the full potential of social risk data
Realizing the full potential of social risk data How integrated social risk data uncovers millions in hidden value and drives 3:1 ROI through targeted interventions Payers face increasing pressure to improve outcomes, control total cost of care, and succeed under value-based contracts. While social determinants of health are widely recognized as major cost drivers, most…
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eBook: From good to great: Eight steps to improve Medicare Advantage Star Ratings
From good to great: Eight steps to improve Medicare Advantage Star Ratings Star Ratings are more than a score. They’re a reflection of how well Medicare Advantage plans serve their members every day. Behind every measure is a person navigating care, managing conditions, and relying on a seamless healthcare experience. Improving Star Ratings isn’t just…
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eBook: Addressing the Employer-sponsored healthcare crisis
Act now: Addressing the Employer-sponsored healthcare crisis Employer-sponsored healthcare is facing a critical challenge. Costs have skyrocketed 43% in the last ten years—significantly outpacing both inflation and wage increases—while the quality of care is decreasing. Astonishingly, employers are now paying 224% more than Medicare for identical services. What’s the solution? This ebook examines the current…
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eBook form: Shaping health outcomes with social risk insights
Shaping health outcomes with social risk insights Members/patients experience the majority of their life outside of healthcare settings. If you are collecting and analyzing data only for the time they are under your supervision, you’re missing out on any socio-economic factors that could be impactful in making decisions about care pathways. Instead, get ahead of…
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eBook form: The transition from CMS-HCC V24 to V28: Impacts and strategic steps
The transition from CMS-HCC V24 to V28: Impacts and strategic steps The Centers for Medicare & Medicaid Services (CMS) recently announced a significant transition in its risk adjustment model, moving from Version 24 (V24) to Version 28 (V28). Effective January 1, 2024, this change will impact Medicare Advantage (MA) plans, accountable care organizations (ACOs), and other…
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eBook form: A payer’s guide to administering value-based arrangements
A payer’s guide to administering value-based arrangements Strategies for successful value-based contracting and funding The foundation of value-based care is its underlying contractual arrangements. To put it simply, this is what establishes how a provider is reimbursed by a contracting entity (i.e. payer, ACO, employer). Value-based contracts are grounded on clinical performance with mutually agreed…
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eBook form: How to use analytics to succeed under value-based care
How to use analytics to succeed under value-based care Download the ebook Post-pandemic pressures and pain points, including clinician burnout and massive health inequities, have accelerated the transition from fee-for-service to value-based care. Despite the ultimate benefits, moving to a value-driven system can be challenging for healthcare organizations, so we’ve built a strategic guide to…
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eBook form: Putting analytics to work
Putting analytics to work: Strategies to engage providers in data-based behavior change The top 10 requirements for engaging providers in data dashboards Regulatory changes in the healthcare industry have shifted expectations and priorities for health plans working on value-based care arrangements. Despite the strong efforts of plans to build transparency and collaboration with providers, they…
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