Navigating Cost and Quality: A Balanced Approach
Health plans, insurance companies, managed care organizations, government agencies, and other payers face the critical challenge of balancing cost control with providing high-quality care and improving health outcomes for their members. Comprehensive healthcare payer solutions offered by Allscripts Veradigm enable organizations to leverage robust data analytics and management systems to streamline operations and reduce unnecessary expenditures.
Risk Adjustment: Mastering the Metrics of Optimized Care
Allscripts Veradigm delivers advanced solutions for risk and quality management, aiding finance, medical management, managed care, quality management, actuarial, and case management teams in analyzing and adjusting risks. With expertise in risk adjustment, quality management, and provider engagement, Allscripts Veradigm helps translate analytics into actionable insights. Notably, Allscripts Veradigm was rated as the top end-to-end Risk Adjustment vendor by KLAS in 2024.
Veradigm ChoiceRx: Transforming Prescription Decisions for Better Patient Outcomes
Veradigm ChoiceRx, an automated solution from Allscripts Veradigm, optimizes prescription decisions to enhance patient outcomes. This streamlined solution helps providers identify cost-effective alternatives without compromising care, resulting in up to a 10% reduction in pharmacy spend and 26% plan savings on initial analysis. The continuous updates ensure improved performance and better patient outcomes, supporting various classes of specialty drugs.
Comprehensive Submissions: Ensuring Accuracy and Efficiency in Data Management
Allscripts Veradigm offers comprehensive solutions to guarantee accuracy and efficiency in managing healthcare data submissions. By streamlining the submission and reconciliation processes, organizations can enhance data reliability across reporting and compliance tasks. Advanced tools and expertise are leveraged to minimize errors and maximize reimbursement opportunities.
Provider Engagement: Enhancing Care Delivery Through Connectivity
Veradigm Payer Insights by Allscripts Veradigm empowers payers to improve outcomes for patients and minimize risks by delivering care gap alerts directly to providers within the patient's electronic health record. By incorporating over 100 payers in the network, this innovative solution enhances performance on key quality measures, satisfies provider demand for integrated alerting, and improves outcomes for patients.
Veradigm Collaborate: Optimizing Payer-Provider Interactions
Veradigm Collaborate offers solutions to optimize interactions between payers and providers, enabling efficient gap closure efforts related to patient conditions and quality of care. By streamlining communications and identifying patients requiring follow-up or at high risk, provider groups can code accurately and address patient care gaps effectively.