Our Value Based Care Service
Member Attribution Cleanup
- We support providers in hitting their Value Based Contracting targets by cleaning underlying attribution data early in each measurement year.
- We ensure the members that you are accountable for are actually YOUR members.
- We assist call centers in helping patients move on or off you panel by leveraging the MCO's processes.
Value Based Contract Review
- We review and and support the negotiation of managed care contracts to ensure both providers and payors are setup for success.
- We ensure data feeds are in place to support providers in successfully hitting measures that require a timely response such as FUA or FUM.
- We address contract underperformance with strategic initiatives to help boost compliance and improve patient outcomes
Champions of Continuous Improvement
- We support providers in moving along the integrated healthcare continuum by regularly reassessing clinical processes to achieve the highest quality clinical outcomes.
- We determine what interventions need to be taken to achieve contract success and we implement solutions like clinic days dedicated to closing gaps, education days dedicated to educating provider on HEDIS coding, and many other solutions driving success and positive outcomes.
Creative Solutions for HEDIS Gap Closure
- We leverage a myriad of solutions to ensure providers understand every option available to close an open HEDIS gap.
- We leverage policy expertise in areas such as Telemedicine to ensure every mode of care is considered when strategizing gap closure.