Monitor member coverage and provider outcomes to create high-performing provider networks
Executing network and provider performance analyses has historically been a very manual, time-consuming process with variable results. With value-based payment models expanding and focus on outcomes increasing, this method of monitoring is becoming obsolete. Smart health plans are replacing the manual work with automated, self-service analytics engines that offer an integrated view on network performance, provider patterns, cost of care and utilization trends.
Delivering comprehensive analytics solutions to strengthen your network
Manual provider analysis processes consume significant time and resources unnecessarily
Struggle to engage providers in performance improvement initiatives
Difficulty adapting to value-based payment arrangements
Analytics in action
Our intelligent platform and intuitive user interface make it easy to unlock the value of your data. In as little as three clicks, we bring meaningful insights, powerful visualization, and analytics innovation to help you make an even bigger impact at your organization.
As you click through our example dashboards, hover over the image to explore a few key features.
Analyze provider performance by member age bands
Compare chronic condition counts between provider and peer group
Dive deeper into Network Insights
Download the data sheet to see how you can deploy Network Insights to build a strong network of the highest-performing providers.
Get our take on industry trends
Why Health Plans and Employers Need Stop Loss Reporting
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.Read on...
Bridge the Payer/Provider Data Gap
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…Read on...
Digging deeper: Leveraging analytics to boost service line profitability
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.Read on...
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Payer Value Analytics: Our full lineup of payer solutions
Everything you need to step into the future of healthcare and drive real change across populations.
Activate insights into population health and quality to improve satisfaction and outcomes for members and maintain a competitive position in the market.
Elevate data sharing with employer groups to demonstrate plan value and increase efficacy of risk stratification and care management plans.
Accelerate provider performance with evidence-based outcomes comparisons, cost-effectiveness analyses, and extensive segmentation capabilities.