Enterprise health analytics platform that can integrate a multitude of data sources to support complex quality and risk analytics.
Predictive modeling, population health management, HEDIS and quality reporting, risk management and provider network evaluation in a single solution.
Value-Based Payment Services for Health Plans
Design and implement VBP programs rapidly, without the need to license software, install hardware, train staff or assign dedicated resources.
Our Proprietary Analytics Platform
Powers multiple solutions to support quality and value in member care, value-based reimbursement and risk-based contracts by combining elements of regulatory reporting, predictive modeling, provider network evaluation and risk adjustment.
Identifies a population that is actionable using predictive modeling enhanced with the integration of The Johns Hopkins ACG® System, yielding more productive and engaging conversations with at-risk members.
Reduces clinical screening effort and case preparation time for case managers with the comprehensive member profile.
Facilitates provider-level data sharing to support performance feedback, collaboration for accurate coding and recommended member services, and value-based payment design for attributed member-patient populations.
Provides consistent, normalized data using analytics from SS&C® CareAnalyzer that can potentially replace numerous point solutions and reduce IT resource requirements.
Measures and reports quality standards with industry-accepted HEDIS® methodology, as well as an enhanced measurement list from other industry-recognized quality organizations; successful NCQA HEDIS Measure certification annually since 2002.