Value-Based Care Administration icon

Value-Based Care Administration

Implement purpose-built infrastructure for
value-based care networks

Value-based care networks are composed of many multifaceted and interdependent entities that must work collaboratively to be successful. This many-to-many system of relationships is complex to navigate. Healthcare organizations need an integrated, configurable data platform with end-to-end management to simplify and streamline efforts.

Using robust contract management and financial payment capabilities, payers and providers can realign downstream reimbursement, incorporate SDOH resources, and demonstrate real-time performance impact with robust dashboards. By melding value-based reimbursement programs with whole-person health models, you can deliver higher quality care, significantly reduce costs, and streamline fund transfers.

Build a patient-centric, service-focused approach to precision health challenge

Challenge
Solution

Legacy data systems are not able to utilize the unstructured data (charts, notes, images, etc.) that produces and informs actionable insights

Challenge
Solution

Traditional approaches do not support the "network of networks" infrastructure that allows scaling of value-based contracts and/or payment model adoption

Challenge
Solution

Lack of timeliness, transparency and advanced analytics in legacy systems hinders productivity, accountability and decision-making

Behind the scenes

We’ve partnered with HSBlox, an industry-leading contract and payment management organization, to empower you with the tools and support necessary to deliver value-based care successfully and sustainably in a single solution.

Read the press release to see how we are working together to enhance value-based care outcomes with data-driven insights, performance optimization, and seamless fund transfers as part of the industry’s most complete value-based care management solution.

Analytics in action

Value-Based Care Administration combines powerful analytics with contract and payment management capabilities to enhance VBC outcomes through data-driven insights, performance optimization, and seamless funds transfers.

As you click through our example dashboards, hover over the image to explore a few key features.

Care Tracker
VBCA-Care Tracker Hotspots

Visualize patient-level program tracking from start to finish 

Contract Builder
Referral Manager

Dive deeper into Value-Based Care Administration

Download the data sheet to see how Value-Based Care Administration helps:

  • Payers optimize networks, track performance, and manage contracts
  • Providers evaluate quality, improve payer relationships, and streamline payments

Get our take on industry trends

Large Midwest health plan maximizes employer client value with improved analysis and reporting

Success Story: Large Midwest health plan maximizes employer client value with improved analysis and reporting

July 16, 2021

A unique requirement of running a successful health plan is staying current on the needs, trends and metrics of employers…

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Large, Customer-Owned Health Plan Deployed automated, detailed reporting to exceed client expectations

Success Story: Large, Customer-Owned Health Plan Deployed automated, detailed reporting to exceed client expectations

July 9, 2021

The Challenge This health plan had quickly expanded to over 15 million members in five states. As a result, the…

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COVID-19 affected risk scores and quality outcomes: Here’s what you can do about it

COVID-19 affected risk scores and quality outcomes: Here’s what you can do about it

July 6, 2021

As value-based payments continue to grow, provider organizations and health plans are relying more and more on predictive modeling of…

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How to spark support for important analytics initiatives

How to spark support for important analytics initiatives

June 8, 2021

MedeAnalytics hosted a webinar with Fierce Healthcare to explore three industry experts’ perspectives on building analytics strategies and maximizing related…

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We're driving data-powered improvement across the industry

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Healthcare payers and health plans

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deploy our value-based care and provider network analytics to enhance population health, quality and network management and empower their employers and brokers through self-service analytics.

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use our end-to-end revenue cycle management analytics to lower denials, accelerate A/R, and improve staff productivity.

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Government Programs for Medicare and Medicaid Enterprise Analytics that helps plans to understand cost drivers, gaps in care, demographic and SDOH impact to improve care outcomes.

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Government Medicare and Medicaid programs rely on our comprehensive dashboards to understand cost drivers, gaps in care, and social determinants impacting beneficiary outcomes.

 

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