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Products-Allscripts

Optimizing Healthcare Payer Solutions with Allscripts Veradigm

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.

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Empower Your Medical Practice with Veradigm's Healthcare Technology Solutions

Transforming Healthcare with Trusted Data and Insights

Veradigm offers a comprehensive suite of healthcare technology solutions designed to empower medical practices to achieve their best clinical and financial performance. By leveraging Veradigm's innovative tools, healthcare providers can streamline their operations, enhance patient care, and improve overall practice efficiency. With a focus on reducing costs and enhancing health outcomes for patients, Veradigm enables medical practices to thrive in today's ever-evolving healthcare landscape.

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Revolutionize Your Practice with Veradigm Practice Management

Tailored Solutions for Medical Professionals

Veradigm Practice Management offers a dynamic and adaptable platform that caters to the diverse needs of medical professionals in various specialties. Whether you are a general practitioner, specialist, or healthcare administrator, our healthcare technology solutions are designed to enhance the quality of your practice and improve operational efficiency. With a commitment to providing configurable solutions that evolve with the changing demands of the healthcare landscape, Veradigm ensures that your practice stays ahead of the curve.

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Streamlining Encounter Submission and Reconciliation with Veradigm Comprehensive Submissions

Simplify Encounter Submissions for Government Programs

Veradigm Comprehensive Submissions offers a scalable, flexible, and integrated solution to streamline and improve submissions and vendor management for various government-sponsored programs such as Medicare Advantage, Managed Medicaid, (S)CHIP, ACA/EDGE, and All Payer Claims Database (APCD). By providing a 360-degree view of data throughout the submission lifecycle, the platform ensures easy source data reconciliation. This comprehensive solution validates 100% of submission data before submission, helping users get paid accurately the first time. Additionally, it assigns HCCs and determines risk-eligibility, allowing users to prioritize error correction and submissions based on projected risk revenue impact.

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Enhance Efficiency and Connectivity with Veradigm Diagnostic Ordering and Results Network

Streamlined Integration for EHR Vendors

Veradigm offers EHR vendors a seamless integration experience with the Diagnostic Ordering and Results Network (DORN). With just one API integration, EHRs gain access to a vast network of laboratory and radiology partners. This streamlined process eliminates the need for custom formats for each partner, saving time and resources for both vendors and providers.

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Veradigm: Revolutionizing Healthcare with Artificial Intelligence Solutions

Understanding Artificial Intelligence (AI) in Healthcare

Artificial Intelligence (AI) has evolved significantly over the past few decades, promising transformation in various industries, particularly healthcare. Veradigm focuses on the expanding potential of AI in healthcare, with a comprehensive guide covering its role, applications, benefits, and challenges. AI, with roots dating back to the 1950s, has broad applications beyond human intelligence simulation and problem-solving capabilities. Veradigm dissects AI classifications, including Weak AI with systems like voice assistants and recommendation algorithms, and the theoretical future potential of Strong AI with human-like cognition. The main functional areas of AI, Expert Systems, Machine Learning, Speech Recognition, Natural Language Processing, Computer Vision, and Generative AI, all intersect in healthcare with distinct applications such as expert systems aiding diagnosis and ML enhancing treatment accuracy.

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