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.
Assess HEDIS measure performance and compliance
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
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...Healthcare’s return to “normal” after COVID-19: Is it possible?
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.”
Read on...Avoid COVID-19 modeling pitfalls by eliminating bias, using good data
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.
Read on...Population Health Amid the Coronavirus Outbreak
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.
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.