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.

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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.

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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%.
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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

How to help employer groups plan in a time of uncertainty

June 15, 2020

Employers and their sponsored health plans are thinking about next year’s benefit designs with a significant challenge not seen before: the effect of the coronavirus pandemic. There are important considerations to take into account before making any decisions about new or existing coverage. Becky Niehus, a director of Product Consulting at MedeAnalytics, explores these new issues and what employers can do to ensure employees are “covered.”

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Healthcare’s return to “normal” after COVID-19: Is it possible?

June 9, 2020

As providers determine how to get patients to return to facilities for routine disease management and preventive screenings, opportunities are ripe for the application of analytics to triage at the right time to the right setting. Data related to COVID-19 will continue to flow rapidly, but there are possibly more questions than answers now about a return to “normal.”

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Avoid COVID-19 modeling pitfalls by eliminating bias, using good data

June 2, 2020

COVID-19 models are being used every day to predict the course and short- and long-term impacts of the pandemic. And we’ll be using these COVID-19 models for months to come.

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Population Health Amid the Coronavirus Outbreak

May 19, 2020

In speaking with many colleagues throughout the provider and payer healthcare community, I’ve found an overwhelming sense of helplessness to the outbreak’s onslaught. This is exacerbated by the constant evolution of reported underlying medical conditions that indicate a higher risk of hospitalization or mortality for a coronavirus patient.

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