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Description
Enhance your value-based initiatives by swiftly evaluating and comprehending the expenses associated with episodes of care. Foster provider participation and engagement by facilitating discussions rooted in data and evidence regarding overall episode costs as well as the specific practice patterns of individual providers. Propel enhancements in cost and quality by addressing discrepancies in care delivery and performance among providers. Utilize analytics to empower value-based strategies, offering insights that assist in refining network structures and advancing clinical transformations. Discover opportunities for value-based care by analyzing episode costs, using clinically validated definitions for episodes. Engage providers in value-focused conversations by examining patterns of utilization, costs, and variations in care. Employ episode analytics to refine network designs, reshape clinical guidelines, and boost consumer engagement effectively. Simplify the process of creating episode budgets by establishing average costs per episode alongside the related clinical services, ensuring a comprehensive understanding of financial requirements. This focused approach not only drives efficiency but also lays a strong foundation for sustainable improvements in healthcare delivery.
Description
Claims processing can stretch over several months, making it increasingly challenging to control associated costs by that time. A mere few minutes of delay in recognizing patient activity can lead to an unwarranted and expensive hospital admission, which is crucial in the realms of care coordination and achieving success in value-based contracts. MemberMatch delivers these critical insights instantly, equipping care teams with timely intelligence that enables them to proactively and efficiently address active care episodes. This approach assists risk-bearing organizations in enhancing both the quality of care and the financial implications of member interactions throughout the care continuum, ultimately resulting in improved patient outcomes and a healthier financial situation for the organizations accountable for their well-being. By facilitating connections between your care team and the clinical staff involved, essential context can be provided to improve the quality and cost-effectiveness of encounters, helping to prevent unnecessary admissions to out-of-network facilities and redundant testing. In essence, this real-time data empowers healthcare providers to make informed decisions that can significantly benefit both patients and their organizations.
API Access
Has API
API Access
Has API
Integrations
RouteGenie
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Change Healthcare
Founded
2007
Country
United States
Website
www.changehealthcare.com/solutions/value-based-payments/healthqx
Vendor Details
Company Name
Experian Health
Founded
1994
Country
United States
Website
www.experian.com/healthcare/products/care-management/manage-aco-passport-to-health-membership
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration