Powers multiple solutions
to support quality and value in member care, value-based reimbursement and risk-based contracts by combining elements of regulatory reporting, predictive modeling, provider network evaluation and risk adjustment.
Identifies a population that is actionable
using predictive modeling enhanced with the integration of The Johns Hopkins ACG® System, yielding more productive and engaging conversations with at-risk members.
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Reduces clinical screening effort
and case preparation time for case managers with the comprehensive member profile.
Facilitates provider-level data sharing
to support performance feedback, collaboration for accurate coding and recommended member services, and value-based payment design for attributed member-patient populations.
Provides consistent, normalized data
using analytics from SS&C® CareAnalyzer that can potentially replace numerous point solutions and reduce IT resource requirements.
Measures and reports quality standards
with industry-accepted HEDIS® methodology, as well as an enhanced measurement list from other industry-recognized quality organizations; successful NCQA HEDIS Measure certification annually since 2002.
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