MedeAnalytics for BCBSAR

F O R

Our Strategic Partnership

Competition within the commercial market remains intense as the battle to retain and grow membership rages on. To compete, experts propose plans need:

Streamlined employer group reporting and analytics
Robust utilization and care management
Efficient and effective network design
Accurate risk stratification

For Arkansas Blue Cross and Blue Shield, MedeAnalytics can help provide the necessary insights into member care quality and costs to inform and improve business decision-making. With an enterprise approach that encompasses reporting and group analytics, provider network management, and value-based care components, Arkansas Blue Cross and Blue Shield can deliver improved value to its clients and brokers and ensure superior care to its members.

On-site presentation takeaways

Does MedeAnalytics have the ability to ingest daily files?

Does MedeAnalytics support Pub/Sub event-driven interfaces (Kafka specifically)?

MedeAnalytics is currently leveraging Kafka pub/sub event-driven interfaces today for certain aspects of our payor solutions. We’d welcome the opportunity to discuss your specific use cases further.

We are currently in flight with some significant technology enhancements, and a move towards additional event-driven interfaces is part of that overarching roadmap. With that, there are likely opportunities for us to partner specifically on your needs as part of a comprehensive implementation plan.

Does MedeAnalytics maintain a “frozen” instance of the data so that users could make comparisons on subsequent file loads to identify what changed?

Additional context: Today, when we get monthly enrollment files, plans send us full files. This is due to all the retroactive changes they make. BCBSAR has a business need to produce a report Month 1, and then send a new file Month 2 which contains retroactive changes. There needs to be a record of how many people fell off, were added, etc. so that it can be explained to clients why the report may change from month to month.

MedeAnalytics currently handles a similar use case for other customers in our portfolio. In our current approach, we are able to create visibility into changes in the enrollment files and the history associated with them within one environment.

We’re confident that we can collaborate with BCBSAR around your specific requirements to generate a solution that will meet your needs, as we have for other large payor clients.

How does MedeAnalytics handle user administration (e.g., user set-ups, profile changes, etc.)?

MedeAnalytics Data Handling Capabilities

See the Platform Overview PDF

MedeAnalytics provides tangible value

We know healthcare; we know the Blues.

MedeAnalytics’ sole focus is healthcare. We have over 200 cumulative years of healthcare expertise on our Product Consulting team, with 56 of those years spent working at Blue Plans.

We collaborate with some of the largest Blue Plans in the country—spanning 20 states—providing best practice analytics strategy and domain experience. We also assimilate the learnings from our clients into improved solutions for all.

We focus on the solution by asking “how can we...?”

As a customer, Arkansas would benefit from the ease-of-use and timeliness to insights that MedeAnalytics has become known for.

Our data orchestration is unmatched in the industry; we do the data heavy lifting so you can centralize access to your data, provide added analytics value to your employer group clients, and impact the total cost of care and quality.

We are confident in our ability to deliver results.

Our mission to “enable measurable analytics impact in healthcare” is at the heart of all that we do.

We seek to understand the unique challenges and goals of each client to ensure that we exceed expectations, deliver exceptional value and generate significant return on your analytics investment.

Client successes

ConcertoCare

Challenge: Lack of actionable insights into clinical quality and utilization associated with vulnerable patient populations

Solution: Deployed MedeAnalytics’ Population Health solution to stratify risk in the population and identify appropriate areas for intervention

reduction in ER visits

reduced admissions

reduced readmissions

“We were able to significantly decrease unnecessary utilization for an entire population with MedeAnalytics’ predictive analytics.

The insights allow the ConcertoCare home-based care team to intervene with patients to slow down disease progression and keep them safely out of the hospital, while uniquely addressing their myriad complex care needs.”

- Dr. Chris Dodd M.D., Chief Clinical Officer, ConcertoCare

Blue Cross & Blue Shield of Rhode Island

Challenge: Siloed, inaccessible data resulted in poor insights, long turnaround times for reporting, and high customer attrition

Solution: Implementing MedeAnalytics Employer Reporting put powerful, self-service tools in the hands of customers, adding value and improving staff productivity and morale

reduction in ad-hoc report TAT

reduction in standard report TAT

savings from increased efficiencies + rev growth

“As we moved into this self-service analytics environment with Employer Reporting, we noticed a meaningful increase in customer satisfaction. The ability to provide our brokers and employers with real-time data and analytics insights has been critical to our success. Since deployment, we won back many of the contracts that we’d lost in prior years – including some of the largest clients within the state – and gained a significant list of new customers, as well.”

- Angelo Pirri, Manager, Employer Analytics, BCBSRI

MedeAnalytics client care package

MedeAnalytics prides itself in its customer-first approach to implementation, delivery and ongoing support.

From the onset of joining the MedeAnalytics community, a dedicated team will work with you every step of the way to ensure you have a seamless transition, gain user adoption and get the most value out of your investment. Guided by our corporate values, we are collaborative, relentless, accountable and inventive.

You can rest assured that we are committed to maintaining that level of service and look forward to a successful partnership.

Your dedicated team

Account Management Services

Our collaborative and consultative advisors work to ensure the success of your MedeAnalytics relationship – from implementation to iteration and beyond.

They offer:

Deep expertise in payer HIT best practices
Regular touch points and proactive problem-solving
24-hour support and phone assistance

Your dedicated Account Manager will connect you to experts throughout our organization and client base, including:

Implementation Services

Integrate our analytics solutions using MedeAnalytics':

Proven implementation methodology and approach
Standard healthcare data models
Best practice playbook for change management initiatives
Experienced enterprise software delivery team

Onboarding & Adoption

Observe utilization trends of your MedeAnalytics tools with:

Expanded analytics around onboarding and adoption
Segmented views of user log ins and interactions
Time and usage reports on features and pages

Product Consulting Services

Achieve your long-term business outcomes by relying on:

Real-world subject matter and product expertise
Value realization optimization
Best practice assessments and KPIs

Training

Get the tools and support your users need to be successful, including:

Proven training programs and resources
Experienced instructor-led training
Comprehensive library of product user guides and eLearning trainings
Online help features embedded in solution

MedeAnalytics Community Events & Forums

Network and share successes with the MedeAnalytics community and beyond, via:

Annual client Impact Awards
Client Impact Partnership
Customer reference program

Data Governance & Regulatory Compliance

Be confident in your data security and compliance knowing we have:

The most stringent levels of certification (HITRUST, SOC 1, SOC 2 Type 2, HIPAA)
ISO 27001 certification
A Corporate Compliance Committee led by our Chief Information Security Officer

Meet your team

Joe McCombs

AVP, Payer Account Management

Andrea Sorensen

VP, Product Consulting

David Schweppe

SVP, Chief Analytics Officer

Saleem Tahir

Chief Operating Officer

Steve Connell

AVP, Program Management

Jennifer Curtsinger

Director, Payer Sales

Success framework

MedeAnalytics will work with Arkansas Blue Cross and Blue Shield to customize a strategy for improving quality ratings as well as bolstering its competitiveness in the market.

Leveraging an integrated analytics solution that provides focus to the most impactful quality measures

Fostering a collaborative environment between payers and providers using a centralized data repository and robust analytic scorecards

Activating data-driven campaigns to Arkansas members, encouraging them to leverage their covered services

Analyzing member satisfaction to identify opportunities for improvement and create action plans for remediation

Additional resources for you

Preview the presentation

Meet the team

About MedeAnalytics

A leader in healthcare analytics, MedeAnalytics provides innovative solutions that enable measurable impact for healthcare payers and providers. Through advanced data orchestration and self-service analysis, we deliver actionable insights that give payers and their clients the power to build trusted partnerships, strengthen provider networks, and improve plan design. This translates into efficiency gains, reduced costs and utilization, and superior quality of care for their members.

Learn more at www.medeanalytics.com.