Payers, let’s level up your value-based care and population health management

As healthcare costs continue to rise and commercial membership steadily declines, value-based care takes on new urgency. Health plans must work harder than ever to adapt appropriately and prove their worth. Powerful analytics solutions can help payers deliver greater value to clients, improve care quality and affordability through superior population health management, and ensure strong provider networks for its members.

%

Large California Payvider 

Designed a customizable suite of dashboards and reports with robust data analytics and industry benchmarks to generate a 6-month pay back time on solution, 75% reduction in ad-hoc report TAT for employers, and $4K Rx savings per script for HIV patients.

%

Northeast health plan ❯

Deployed self-serve analytics to foster strategic partnerships—improving client satisfaction and retention. Ultimately, the plan gained 70-75% improvement in employer efficiencies and productivity, including reduced standard report turn-around times by 50%.
%

West coast in-home care payvider

Used predictive analytics to stratify risk, assess cost and utilization patterns and improve care for the most complex segment of its population, including reducing admissions by 47% and readmissions by 40%.

Comprehensive support for your top value-based care priorities

MedeAnalytics helps payers gain self-service visibility into drivers of cost and quality, allowing them to transform their relationship with clients and impact on population health management. With the ability to track, trend and drill down into root causes, payers can understand where there are opportunities to combat some of today’s biggest challenges. These include:

  • Management of value-based care programs
  • High treatment costs
  • Ineffective identification of at-risk members
  • Unnecessary hospital utilization
  • Provider negotiations
  • Lack of transparency with employers
  • Population health and quality management
[Wheel graphic displaying the following] Member care: - Care Quality - Care Utilization - Employer Relations - Provider Contracting - At-Risk Populations - Cost of Care

MedeAnalytics provides the competitive advantage you need

Everything you need to drive real impact with value-based care

Go further: Explore our Payer Value Analytics solutions for value-based care and population health management

QI

Quality Insights

Activate insights into population health and quality to improve satisfaction and outcomes for members and maintain a competitive position in the market.

 

See the solution ❯

EI

Employer Insights

Elevate data sharing with employer groups to demonstrate plan value and increase efficacy of risk stratification and care management plans.

 

See the solution ❯

NI

Network Insights

Accelerate provider performance with evidence-based outcomes comparisons, cost-effectiveness analyses, and extensive segmentation capabilities.

 

See the solution ❯

Talk with our experts about the power of analytics

Get our take on industry trends

Large Midwest health plan maximizes employer client value with improved analysis and reporting

Success Story: Large Midwest health plan maximizes employer client value with improved analysis and reporting

July 16, 2021

A unique requirement of running a successful health plan is staying current on the needs, trends and metrics of employers…

Read on...
Large, Customer-Owned Health Plan Deployed automated, detailed reporting to exceed client expectations

Success Story: Large, Customer-Owned Health Plan Deployed automated, detailed reporting to exceed client expectations

July 9, 2021

The Challenge This health plan had quickly expanded to over 15 million members in five states. As a result, the…

Read on...
COVID-19 affected risk scores and quality outcomes: Here’s what you can do about it

COVID-19 affected risk scores and quality outcomes: Here’s what you can do about it

July 6, 2021

As value-based payments continue to grow, provider organizations and health plans are relying more and more on predictive modeling of…

Read on...
How to spark support for important analytics initiatives

How to spark support for important analytics initiatives

June 8, 2021

MedeAnalytics hosted a webinar with Fierce Healthcare to explore three industry experts’ perspectives on building analytics strategies and maximizing related…

Read on...