Unify your clinical and financial data to deliver better care at a lower cost.
Edifecs Value-Based Care is a single integration point for clinical, financial and administrative information received from disparate sources. The solution unifies end-to-end program management, identification of at-risk populations and evidence-based interventions to align program goals with care delivery operations.
Our approach delivers a turn-key solution to remove volume to value barriers by turning traditionally siloed data into usable intelligence for the entire enterprise.
Edifecs enables health plans to ingest clinical data and implement a platform designed to initiate, monitor and scale value-based initiatives such as shared savings, bundled payment and P4P programs.
We assist entities involved in ACO programs (CMS, health plans and providers) by integrating claims and clinical data to reveal actionable insights for closing care gaps, refining intervention strategies, improving care team coordination, and greatly enhancing the ability to meet value-based financial and performance targets.
We provide CMS and state Medicaid agencies the ability to scale value-based care initiatives and accelerate quality payment programs. Our flexible infrastructure streamlines compliance to new rule changes.