Quality Insights Logo. Improve value-based care quality and population health outcomes.

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

West Coast In-Home Care Payvider reduced readmissions by 40%

West coast in-home care payvider

Powered by MedeAnalytics capabilities and platform, this innovative ‘payvider’ used predictive analytics to stratify risk, assess cost and utilization patterns, and improve care for the most complex segment of the population.

West Coast In-Home Care Payvider reduced readmissions by 40%

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.

Potentially Avoidable ER Visits
Quality-Insights-ER-Visits-Desktop

Understand trends in ER utilization

Analyze ER visits by Dx Group

Population Overview
Patient Risk
HEDIS measures

Dive deeper into Quality Insights

Download the data sheet to see how Quality Insights can help your health plan improve care quality and outcomes.

Download the data sheet to see how Quality Benchmarks can help you measure quality metrics against NCQA national benchmarks.

Get our take on industry trends

schweppe-healthscene

The role of analytics in whole person care: 4 key takeaways

July 28, 2022

David Schweppe, Chief Analytics Officer at MedeAnalytics (right), being interviewed by John Lynn, Founder and Chief Editor at Healthcare IT…

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Is telehealth exacerbating health inequities?

May 18, 2022

It has been widely reported that telehealth utilization increased dramatically during the COVID-19 pandemic. In fact, MedeAnalytics health plan customers…

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Five predictions for healthcare analytics and AI

May 12, 2022

Healthcare leaders increasingly realize the tremendous potential in artificial intelligence (AI) and analytics to deliver on the promise of high-quality…

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You asked, BCBSRI Answered: Impact Summit Session Q&A Spotlight

April 28, 2022

Our annual Impact Summit is a chance for leaders from our client organizations around the nation to join together to…

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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.

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.

 

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NI

Network Insights

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

 

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