Supporting Payers in the Transition to Value-Based Care
As healthcare costs rise and commercial membership declines, payers face the urgent need to shift towards value-based care. MedeAnalytics offers powerful analytics solutions to help payers adapt to these changes, proving their value to clients through superior population health management. By leveraging robust data analytics and industry benchmarks, payers can deliver greater value, improve care quality, and enhance affordability. This results in a strong provider network and better outcomes for members.
Enhancing Client Satisfaction and Productivity
Case studies demonstrate the effectiveness of MedeAnalytics solutions in various scenarios. A large California payvider achieved a 6-month payback time, reduced ad-hoc report turnaround time by 75% for employers, and saved $4,000 per prescription for HIV patients. A Northeast health plan implemented self-serve analytics, leading to significant improvements in client satisfaction and retention, as well as increased employer efficiencies and productivity. A West coast in-home care payvider utilized predictive analytics to reduce admissions by 47% and readmissions by 40%, benefiting the complex segment of its population.
Comprehensive Support for Value-Based Care Priorities
MedeAnalytics provides payers with self-service visibility into cost and quality drivers, transforming their client relationships and impact on population health management. Payers can track, trend, and delve into root causes to identify opportunities for addressing key challenges, such as value-based care program management, high treatment costs, at-risk member identification, unnecessary hospital utilization, provider negotiations, lack of transparency with employers, and population health and quality management.
Competitive Advantage with MedeAnalytics
MedeAnalytics offers a competitive edge through population health risk stratification, provider performance dashboards, detailed utilization analysis, and user-friendly reporting capabilities. Payers can leverage these features to enhance their value-based care and population health management strategies, ultimately improving outcomes for both clients and members.