Quality Insights
Improve value-based care quality and population health outcomes
The rise of value-based care has inevitably spurred heightened focus on quality improvement across the healthcare ecosystem. There are two sides to this coin: measures and members. On the measures side, health plans are working to align with strict national standards and state-specific requirements (think: HEDIS, Star ratings). On the members side, payers are striving to understand their patient populations more fully and provide more timely, appropriate interventions.
Delivering comprehensive solutions to enhance performance and outcomes
Challenge
Solution
Siloed, incompatible information from EMRs, claims and other sources hinder efficient quality calculations and data submission
Challenge
Solution
Unnecessary ED visits and readmissions drive up costs and decrease member satisfaction
Challenge
Solution
Insufficient, unreliable data on clinical performance deters provider engagement
Celebrating big wins with Quality Insights
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.
Understand trends in ER utilization
Analyze ER visits by Dx Group
Dive deeper into Quality Insights
Download the data sheet to see how Quality Insights can help your health plan improve care quality and outcomes.
Visit our Value-Based Care Blueprint page for everything you need to know to navigate the intersection of value and analytics.
Get our take on industry trends
Measuring provider cost and utilization
No matter the time of year, payers and providers should work to agree on a shared source of truth when it comes to data. With the recent end of the year, it’s time to celebrate the new year (who isn’t ready to say goodbye to 2020?) and close the books, which includes the reconciliation of any shared savings or losses.
Read on...
Data visualization: A picture is worth a thousand…healthcare data points?
The amount of data produced daily has grown exponentially with nearly 90% of the world’s data generated in the last two years alone. To ensure we can make sense of this data, analysts must find meaningful ways to present the information to their audiences.
Read on...
Crystal ball not necessary: predictive analytics helps health systems reduce denials
The idea of having a crystal ball to better understand what claims will be denied is an awesome concept. But one we can’t rely on. Thankfully, we have predictive analytics to take the place of a crystal ball.
Read on...
How to help employer groups plan in a time of uncertainty
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.”
Read on...Want to talk with one of our experts?
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.
Quality Insights
Activate insights into population health and quality to improve satisfaction and outcomes for members and maintain a competitive position in the market.
Employer Insights
Elevate data sharing with employer groups to demonstrate plan value and increase efficacy of risk stratification and care management plans.
Network Insights
Accelerate provider performance with evidence-based outcomes comparisons, cost-effectiveness analyses, and extensive segmentation capabilities.