Today MedeAnalytics, a leading provider of healthcare performance management solutions, introduced its new Population Health Analytics solution, which delivers enterprise business intelligence to support population health management, risk stratification, pay-for-performance quality measures, capitation, and shared savings adjudication for accountable care organizations (ACOs) and other new payer-provider risk models. The solution was introduced at the Healthcare Financial Management Association's 2013 Annual National Institute in Orlando, Fla.
"With a growing segment of the healthcare marketplace moving to risk-based models such as accountable care, it is critical that healthcare providers successfully manage the care of their patient populations while also ensuring the financial viability of this new business model," said John Hansel, MedeAnalytics' vice president, Healthcare Provider Solutions. "Our Population Health Analytics solution provides healthcare providers and integrated health systems with insight into clinical quality measures, utilization trends, and cost savings associated with patient populations. MedeAnalytics aggregates disparate claims, EHR, cost, patient satisfaction, and other clinical and financial data to help providers understand and manage risk arrangements with payers."
"The MedeAnalytics Population Health Analytics solution also integrates closely with a broad array of health information exchange (HIE) and provider-facing clinical workflow partners to provide a comprehensive population health management platform," Hansel added.
Population Health Analytics Solution's Core Drivers of Value
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Identify and stratify patient populations for targeted intervention programs
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Track cost savings and utilization trends across the continuum of care
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Monitor PMPM performance targets in collaboration with payer partners
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Measure clinical quality outcomes and compliance measures
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Track physician productivity and benchmark providers on cost and quality
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Manage the financial adjudication of risk-based contracts and shared savings
MedeAnalytics' Experience with Provider and Health Plan Risk Models
Successfully managing patient populations and risk-based contracts requires experience with both payer and provider business models. For more than a decade, MedeAnalytics has worked with healthcare providers (hospitals and physicians) as well as payers (health plans) to manage disparate claims and clinical data for business analytics. "As healthcare providers begin managing risk in ACO arrangements, it is essential to understand the key metrics and levers for managing financial performance under an ACO business model," said Hansel. "MedeAnalytics also has deep expertise in predictive modeling, and we leverage a number of industry-leading methodologies to segment patient populations, identify gaps in care, and bundle patient episodes to support new reimbursement methodologies and clinical pathways."
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