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Empowering Payers with Value-Based Care and Population Health Management Solutions

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.


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Enhancing Healthcare Efficiency and Insights with MedeAnalytics Solutions

Maximizing Operational Efficiency and Speed to Insights

MedeAnalytics offers cutting-edge solutions that have significantly impacted healthcare organizations like Presbyterian Healthcare Services. By leveraging MedeAnalytics tools, organizations have witnessed a remarkable 34% increase in Clinical Managed Intelligence (CMI), enabling them to enhance operational efficiency and streamline processes. This surge in efficiency has translated into faster reporting, with a 69% improvement observed. The seamless integration of MedeAnalytics solutions has not only accelerated data analysis but also allowed for quick decision-making, fostering a dynamic and agile environment for healthcare providers.

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Enhancing Registrar Performance with Productivity Analytics

Challenges in Registrar Performance Monitoring

Many healthcare organizations face challenges in monitoring and improving registrar performance. Manual monitoring processes make it difficult to track goal progression, leading to missed opportunities for improvement. Additionally, bridging upstream activities with downstream financial outcomes requires significant manual effort and often lacks the detailed focus needed to enhance staff process improvements. Faulty front-end processes can result in extra work, staff frustration, and unsatisfactory team outcomes.

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Maximizing Revenue Realization and Optimizing Cost of Care for Healthcare Providers

Challenges Faced by Healthcare Providers

Healthcare providers and health systems have been under immense pressure due to the pandemic, experiencing a significant reduction in revenue and a sharp increase in labor costs. Operating on thin margins, it is crucial for these organizations to maximize revenue realization and optimize the cost of care. In this challenging environment, actionable analytics and reporting play a pivotal role in helping organizations achieve financial and operational sustainability while delivering high-quality care. Providers need innovative solutions to tackle hurdles such as little visibility into A/R aging and denials, revenue losses from increasing self-pay accounts, changing regulations, revenue leakage, tracking revenue across multiple care settings, and lack of visibility into staff performance.

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Unlocking Healthcare Data Potential with MedeAnalytics

Revolutionizing Healthcare Data Management

In today's fast-paced healthcare industry, simply relying on reporting is no longer sufficient. Healthcare organizations need a deeper understanding of their data to drive actionable insights. MedeAnalytics offers a revolutionary approach to healthcare data management and analytics, leveraging advanced analytics and artificial intelligence (AI) to unlock the full potential of healthcare data. By combining cutting-edge technology with industry expertise, MedeAnalytics stands out in the healthcare data management landscape.

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Empowering Employers with Data Insights: MedeAnalytics Employer Solutions

Challenges Faced by Employers and Brokers

In today's dynamic healthcare landscape, employers and brokers are confronted with numerous challenges. They often lack the necessary analysis and automation capabilities to fully understand and support their employee populations. Furthermore, the services provided can be inconsistent and insufficient, leading to disengaged and dissatisfied employers and brokers. Moreover, demonstrating the value and worth of a health plan to commercial accounts can be an uphill battle.

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