And gain valuable insight across your partner ecosystem
Learn from combined clinical and financial data streams—on individual customers and patients—to proactively alert payers and providers of key clinical and financial risk markers.
Enables successful data exchange with the entire payer ecosystem to minimize costs of collaboration on quality and care management initiatives.
Supports alternative payment and care models with actionable data and insights by building correlated profiles of individual customers, patients and target populations.
Reduces the cost of customer care by proactively intervening on actionable administrative clinical and financial insights
Limits additional IT investments by interfacing with existing infrastructure and core systems whether claims transactions, EDI, provider portals, EHRs or health information exchanges
Enhances continuity of care within the network in near real-time and favorably impacts your network utilization by curbing leakage early
Automatically generates actionable data reporting to support alternative care and payment models
As soon as a transaction is received by a healthcare organization, it begins a complex journey, spanning multiple systems, through which it is acknowledged, processed, and modified at several points in its lifecycle – often with limited or no visibility by operations staff.
Sweeping changes, many driven by government mandates, are rocking the healthcare industry. At the epicenter is the decision by the Centers for Medicare and Medicaid Services (CMS) to implement value-based purchasing.