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

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

Unfamiliar Healthcare Players, Interoperability and Social Determinants Round Out 2020 Megatrends

January 23, 2020

By Scott Hampel, president of MedeAnaltyics We conclude our 2020 Megatrends with an exploration of new players entering healthcare, the…

Read on...

More Megatrends: Price Transparency, Telehealth, Individualized Medicine

January 16, 2020

By Scott Hampel, president of MedeAnalytics Now that we’ve dealt with Megatrends one through three, we’re approaching the next set.…

Read on...

2020 Megatrends: Consumerism, Data Privacy and Security, AI

January 14, 2020

With 2020 two weeks old, it’s becoming clear the data produced in the healthcare industry by providers, consumers and payers will power and propel our 9 megatrends. Healthcare data is the foundation on which we’re building everything from healthcare outreach for the underserved to new Internet of Things-based healthcare programs to treatments designed just for you.

Read on...

Why Unconventional Businesses Will Find Success in Healthcare: It’s the Data

January 7, 2020

It seems everyone is moving into healthcare. It’s a rapidly growing industry, historically dominated by large, well-embedded companies and organizations, and “pure tech” companies have had difficulty breaking in. That, however, is changing.

Read on...