Case Study: How Direct Patient Insights Empower Providers to Improve Quality Performance
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Converged Provider Enablement
Translate organizational goals to the provider point of care with shared insights into patient care quality, documentation, program performance, utilization metrics, and custom initiatives.
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Improve patient outcomes and provider engagement while enhancing performance and eliminating the complexity of managing overlapping federal, state-specific, and localized quality, risk, and custom value-based initiatives.
Overview
Converged Provider Enablement empowers health plans, “payviders,” and other value-based healthcare organizations to coordinate countless programs and initiatives across large provider systems at the point of care and achieve better quality outcomes, reduce costs, and improve economics.
Intuitive and Insightful Data Visualization and Reporting
Leverage an intuitive interface to understand value-based program performance at the patient and measure levels and engage providers to close gaps in care.
Streamlined Management and Oversight
Reduce manual errors and administrative costs with self-service tools to configure patient attribution and provider hierarchy settings, as well as certify-before-publish features.
Accelerated Reporting Implementation
Rapidly deliver quality performance metrics to provider partners via easy data integration, accurate analytics, and single sign-on (SSO) capabilities.
80
of nation’s quality analytics performed by underlying platform
250
measures and metrics to choose from – with ability to design new
3
patients supported with value-based care programs
Benefits
Reduce the complexity of managing value-based contracts and other performance programs with a solution that delivers direct, up-to-date performance data and actionable patient insights.
Engage and Empower Providers
Translate differing initiatives into one set of patient-specific insights and goals delivered to individual providers at the point of care and updated in real time.
Enhance Transparency and Maximize Incentives
Gain accurate, system-wide transparency into the ongoing performance of your initiatives and how to hone programs and incentives for greater effectiveness.
Streamline Management of All Initiatives with a Single Solution
From standard federal and state-level initiatives to fully customized goals, improve quality outcomes, risk score accuracy, population health, and more.
How it Works
Improve patient care through data-driven action. Access the next level of healthcare data integration, analytics, and intelligence to empower value-based program success.
Real-time connectivity for industry-leading data integration and analytics.
Data-driven analytics play an integral role in supporting payers and providers to succeed under value-based models. Payers and providers need advanced analytics that bring together data from multiple sources to provide timely, comprehensive insights into patient gaps in care.
By implementing advanced technology to combine, curate, and analyze data, healthcare organizations can determine meaningful action, reduce administrative burden, and enhance transparency – resulting in measurable impact and success for payers and providers.
Comprehensive datasets to support reporting on value-based and custom initiatives
Converged Provider Enablement allows for highly flexible, tailored encounters informed by dynamic, user-friendly dashboards. Payers can deliver online access for healthcare systems to enable transparency into contract performance and improved quality outcomes. Payers also use this solution for tracking quality and risk adjustment measure scores, which will ultimately impact financial payments by CMS and other state health agencies.
Engage providers and enable action with performance reports
Providers have access to an integrated platform to receive information on gaps in care from multiple payers (effectively replacing a myriad of delivery channels and formats from various payers). Providers are equipped with concise and actionable patient-specific care information. This ensures timely reporting of gaps in care information.
Converged Provider Enablement Add-ons
Converged Data Insights
Reduce the burden of manual and ad-hoc reporting with versatile, purpose-built software for health plan data management initiatives – all while gaining a more comprehensive view.
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Resources
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