Insights

Featured:

How is telehealth impacting STARs performance?

STAR scores are a critical component of success for Medicare Advantage Plans, MSSP and REACH ACOs, driving them to maximize the amount of shared savings realized and attract Medicare beneficiaries ...
Read more...

Articles

Why Health Plans and Employers Need Stop Loss Reporting

By MedeAnalytics

Due to rising healthcare costs and the Affordable Care Act removing the ban on capitated benefits coverage, numerous employers with self-insured health plans often purchase stop loss coverage. This coverage is not medical insurance; but rather, it’s a financial and risk management tool that protects the employer from excessive claims.

Bridge the Payer/Provider Data Gap

By MedeAnalytics

Every patient has a plethora of data associated with their health record, which can include decades of enrollments, claims, accounts and charges. Much of this data is not housed within the same institutional, facility or provider database…

Digging deeper: Leveraging analytics to boost service line profitability

By MedeAnalytics

Regardless of the size of the hospital or health system, you need to look beyond traditional operational metrics to fully understand your organization’s performance. Insights into revenue, volume, cost, quality and variation across service lines are key to improving both performance and profitability.

Blueprints

Augmented
analytics

Explore what augmented analytics is, the benefits it can bring to healthcare, and tips for leveraging it.

Go to the Augmented Analytics Blueprint

Value-based
care

Check out our resources for how to find success at the intersection of analytics and value.

Go to the Value-based Care Blueprint

Medicaid &
managed care

Education, direction, and inspiration to support your care access, equity, and delivery goals.

Go to the Medicaid & Managed Care Blueprint

Featured infographic

Analytics is critical for MCOs to support key cost and quality objectives.

Download this resource to explore how data-based strategies can help organizations accomplish important goals and improve existing healthcare services for Medicaid beneficiaries.

Press release

MedeAnalytics and Socially Determined partner to provide a more holistic view of patients and members with integrated social determinants of health data

This pivotal partnership paves the way for optimized value-based care through actionable SDOH insights. MedeAnalytics CEO Steve Grieco spoke to the immense benefits stating, "This will allow further risk stratification for focused interventions, leading to better care coordination, patient engagement, cost savings, and stronger, healthier communities."

Socially-Determind-Logo-1