Financial analytics

Population health management › Analytics › Financial analytics

Gain high-level insights and identify opportunities for improvement in your network and in your populations. With financial analytics, you can distill disparate data into insights that allow you to prioritize and invest in programs that support your contractual benchmarks and strategic objectives.

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Overview
Overview
Key benefits

Analytical expertise gives you a head start in leveraging reports and dashboards

Easy to digest and visually impactful reports can be shared with key stakeholders to help anchor insightful discussions

Snapshot of most relevant information enables quick decision making

Distilling insights from raw payer claims data can be challenging as patient assignment, provider networks, patient-provider attribution, patient risk and care management programs continuously change over time. Without managing these factors, networks and care organizations risk investing in programs that fail to deliver needed returns to support contractual benchmarks and strategic objectives.

Partnering closely with our customers, we can assist in tracking network performance, identifying opportunities for improvement and targeting intervention opportunities for population cohorts.

Features

Tailored value-based care analytics

Tailored analytics and reports help you target intervention opportunities for population cohorts, providers and your network based on your payer claims feeds. These reports allow you to spot trends and improvement opportunities quickly, and act upon those insights to help drive improved performance. Available reports include:

Key performance indicator dashboard: An executive-level dashboard featuring cost and utilization metrics including: per-member per-month, per 1,000s, and totals for spend, emergency department utilization, admissions, patient leakage and avoidable utilization. This includes current period versus comparative period, e.g., history or benchmark.

Provider/Clinic scorecard: A scorecard dashboard oriented to a particular provider or clinic’s population featuring metrics for demographics, utilization, leakage, patient geography, monthly spend and cost distribution. This includes current period versus comparative, e.g., contract average or benchmark.

Network report: A set of visualizations focused on overall network performance and care retention

Facility utilization: A set of metrics and visualizations describing the utilization at several types of facilities — short-term acute care, skilled nursing facility, rehabilitation center, psychological treatment center, etc. — and including geospatial visualizations connecting patient origin to location of facility and type of utilization.

Care transitions: A set of visualizations describing transitions of care. This includes content related to post-discharge follow-up and readmissions.

Data extract of patient-level cost and utilization facts: A set of data files containing curated patient cost and utilization facts by payer, patient-provider alignment and monthly patient eligibility.

Gain deeper insights with custom consultation

Additional consultative analytics services help you dive deeper into key opportunity areas to explore root causes, business impacts and potential solutions.

Get up and running quickly

Our services team is focused on helping your organization implement and integrate our platform and applications quickly, easily, and working harmoniously with your existing technology infrastructure. We provide initial and ongoing training to support change management, as well as support you over time to help ensure the system is meeting your current and future business goals.
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Find out how to respond to the chaos in your market

Get your results now

Your financial future is in your control

Test drive the calculator now

Seeking customer proof points?

Go to case study library