Value Based Care Enablement Solutions
Services, resources, and tools for payers and providers who seek to improve patient care outcomes and efficiencies as they transition to value-based care and reimbursement.
Collecting and using actionable patient data to support value-based care programs is a challenging task. Our unparalleled tools and analytics capabilities support both payers and providers as they seek to improve patient care.
Our dedicated and experienced analytics team works with claims-based data to support practice transformation, strategy development, and patient care improvements. We create easy to understand data packages that both payers and providers can utilize in deciding courses of treatment.
Approximately 93% of Medicare spending is on beneficiaries with multiple chronic conditions. Time constraints make it difficult for providers to manage this population, especially between office visits.
Our care coordination services can help you improve patient engagement and quality of care, while receiving payment through the CMS chronic care management program. Our services help you meet CMS billing requirements for chronic care management, complex chronic care management, and the Merit-based Incentive Payment System (MIPS).
Our Accountable Care Services team guides you through initial applications and contract negotiations and provide daily operational management assistance. Services include care coordination and utilization management; claims, finances, and call center management; and provider aggregation, care-quality management, and reporting.
Our advanced data warehouse and decision support tools, including population health management, can help you ensure patients receive the care they need.