Are You and Your Vendor on the Similar Web page?

Select an end-to-end resolution that delivers the dimensions you want from a associate you may belief.

In case your group is working with a third-party vendor for danger adjustment, high quality knowledge and analytics, ask your self a pair very fundamental questions:

• Are our incentives aligned?
• Are we working in the direction of the identical objective, or do our pursuits battle greater than earlier than?”
• Do I’ve the best associate, one I belief with of all of my danger and high quality knowledge?

Once you do enterprise within the Medicare Benefit, Medicaid and EDGE areas, you can’t afford to present away something to the competitors. Which means partnering with an ally who share your values, and whose pursuits are aligned with yours and your members’.

However past belief and reliability, you want an trade chief in know-how and repair at scale. One who gives an end-to-end platform together with danger adjustment and high quality analytics, submissions, EDI clearinghouse, member and supplier engagement, value-based care options and scientific knowledge change.

Shut Scientific and Monetary Gaps Through Safe, Agnostic, Bi-directional Interoperability

Along with Veradigm, you may:

• Enhance monetary administration by way of well timed perception into premium and high quality danger
• Take away limitations to accessing efficient care with a big and numerous supplier community
• Entry an efficient, easy-to-work with associate serving to ship greater high quality care
• Empower sufferers to drive engagement, therapy compliance, greater satisfaction, and longer continuity of care

Confirmed Efficiency You Can Belief, at Scale

Past our dedication to open networks and customary interoperability requirements, Veradigm helps well being plans to:

• Establish actionable interventions with patented Threat Adjustment Methodology with dynamic intervention planning empowers Payers to
• Entry bi-directional scientific and monetary knowledge change between payers and 275k+ suppliers drives worth for all stakeholders
• Streamline submissions and reconciliation by way of a complete, cloud-based, totally built-in submissions platform for all authorities sponsored packages, together with Medicare, Medicaid, CHIP, ACA and APCD (All Payer Claims Database).
• Monitor your key monetary indicators and shut gaps with a single, patented risk adjustment analytics and reporting solution supporting Medicare Benefit, ACA, Medicaid and Industrial analytics.  Outcomes will be tracked at each the inhabitants and the member-level element, with recapture efforts for power situations, identification of undocumented suspecting situations. Patented Dynamic Intervention Planning gives well being plans and payers an unbiased method to exactly and effectively concentrating on members for numerous intervention methods together with In House Assessments and Medical Report Evaluate.
• Automate and speed up chart retrieval from suppliers and cease manually amassing and processing medical information with a confirmed resolution that delivers entry to 200k+ suppliers with a number of digital well being information (EHRs) for chart retrieval providers. Our knowledge parsing capabilities not solely improve our shopper’s Threat Adjustment suspecting analytics, but in addition present scientific insights in help of hole closure – creating efficiencies and lowering prices.
• Observe utilization and prices related to the supply of your value-based contracts with a typical set of metrics for payers and suppliers to evaluate efficiency, improve collaboration, and reduce supplier burden.

For extra data on deciding on the best vendor for danger adjustment and high quality analytics and reporting, in addition to encounter submissions, click on right here to take a look at a free buying information with 8 Questions Each Well being Plan Ought to Ask a Healthcare Analytics & Know-how Companion.