Value-Based Care Insights
Incentivize partnership in care delivery and patient outcome improvement
As healthcare costs continue to rise and consumers demand greater value, alternative care models are taking on new urgency. For value-based care to be successful, payers, providers and community supports must be engaged and recognize the benefits for themselves and the patients they serve.
To do that well, organizations must ensure that adequate provider networks are in place, providers are measured on quality and cost performance, and reimbursement is based on multiple at-risk and shared savings models to promote higher quality of care at a lower cost. The final key to success is the ability to monitor, analyze, benchmark and improve performance across the ecosystem to exceed value-based care and patient outcome goals.
Comprehensive support for your top value-based care priorities
Value-Based Care Insights enables healthcare payers and providers to improve patient outcomes and satisfaction by delivering higher-quality care at a lower cost. By integrating clinical and claims data, payer and providers gain a 360-degree view into patient/member health that enables actionable insights into population health and risk, provider network performance, and provider quality and measurement.
Program administration
- Program design and definition
- Payment model
- Contract modeling and forecasting
- Contract operations
- Timely reporting
Population health management
- Risk Adjustment
- Population Attribution
- SDOH / health equity influences
- Care gap identification
- Patient education
Network optimization
- Risk adjustment
- Provider attribution
- Provider efficiency
- Network leakage
- Care coordination / transition
Performance reporting
- Clinical measure management
- Provider dashboards
- Cost & utilization metrics
- Patient / member satisfaction
- Financial risk management
Payment & invoicing
- Funding pool management
- Flow of funds management
- Deposit account updates
- Rate & Plan management
- Provider payment reconciliation
Stakeholder engagement
- Provider consent management
- Patient engagement
- Consumer marketing
- Consulting services
- Provider engagement
Augmented analytics
- EMPI / patient matching
- Propensity scoring
- Provider indexing
- Opportunity index
- Forecasting
Data & interoperability
- “Payvider” complexities
- Interoperability
- Integrated dataset management
- EMR Integration
- Unstructured data
Analytics in action
Our intelligent platform and intuitive user interface make it easy to unlock the value of your data.
In just three clicks, you can access meaningful insights, powerful visualization, and analytics innovation to help you make an even bigger impact.
Dive deeper into Value-Based Care Insights
- Artificial Intelligence (AI) tools to rapidly surface key trends
- Seamless connectivity into complementary care management programs to optimize performance
- Participant marketing and activation via multi-modal integrated engagement platform
- Augmented analytics and data science focusing resources on greatest areas of opportunity
- Provider onboarding automated and at scale
Leading organizations; exceptional accomplishments
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
Data and Social Determinants of Health
By Scott Hampel – I think a lot–and I’m not the only one–about how we can improve the ways we pull information from data. Data on its own is inert: just waiting to be understood and then used. And that’s a major challenge for many organizations. Data is often trapped in different applications with no easy or convenient way to extract it.
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Why Social Determinants Need Analytics for Success
Many challenges face healthcare’s underserved. There are issues with food, housing, reliable transportation, steady employment and more. Each contributes to and is one element of social determinants of health (SDH). In communities around the world, public and private organizations are taking steps to address SDH-related issues and challenges that negatively impact healthcare.
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Healthcare Organizations Recognize Importance of AI for Reporting
Healthcare providers continue to recognize the value of using AI in reporting operations throughout the organization. AI has many strengths when applied to the healthcare industry:
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Why It’s Time for Healthcare to Move Toward AI Reporting
Business intelligence (BI) was a dramatic and significant step forward in healthcare industry reporting and a natural transition to artificial intelligence (AI) enabled real-time insights.
Read on...Want to talk with one of our experts?
We're driving data-powered improvement across the industry
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.
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.
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.