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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.

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

How to help employer groups plan in a time of uncertainty

June 15, 2020

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?

June 9, 2020

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

June 2, 2020

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

May 19, 2020

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...

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We're driving data-powered improvement across the industry

Healthcare Payers and Health Plans deploy our Value Based Care and Provider Analytics to improve population health and quality management, and empower their employers and brokers thru self-service analytics.

Healthcare payers and health plans

Healthcare Payers and health plans

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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Healthcare Providers and Health Systems depend on us for end-to-end revenue cycle management (RCM)  Analytics that helps them lower denials, accelerate A/R and improve staff productivity.

Healthcare providers and health systems

Healthcare Providers and Health Systems

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.

Government Medicare and Medicaid programs

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

 

Explore Medicaid Analytics