This week, several health it vendors announced new tools to apply advanced analytics, automation and artificial intelligence to help provides and payers spot potentials cares care settings by embeding Real-Time Insights Into Existing Workflows.
Boosting Coding Accuracy Across Care
Innovaccer is offering health plans a new platform integration that targets gap closure and streamlines risk adjustment with a Proactive Approach, the Company Announced Wedns.
Health plans have history related to Disconnected tools and Resource-Intensive Manual Processes that Pose Compliance Risks and Increased Costs.
Combining Prospective, Concurrent and Retrospective Reviews, Payers Can Use The New Platform, Called 360-Degree Gap Closure, to Leapfrg Traditional Data Silos and Close Gaps CAROSS CAROSS CAROSS CAROSS CAROSS CAROSS CAROSS CARVIC Offices, Pharmacies and Patients’ At-Home Interventions.
The key to risk adjustment and quality improvement is seamless data exchange with provider ehrs, innovaccer said.
With the US Centers for Medicare and Medicaid Services Accelerating Value-Based Care Adoption, Gap Closure Can Improve Coding Accuracy with Automation and ENHANCE Member Outomse with Advanced analytics,
“We are brings a much-needed shift in how Payers Approach Risk and Quality,” Abhinav Shashank, Innovaccer’s Cofounder and CEO, CED in a statement.
“INTEAD OF PIECING TOGETHER MULTIPLE VENDORS and Solutions, Health Plans Can Now Close Gaps Gaps Efficiently Across the Entre Care Journey, Whether at a Provider’s Office, In PHARGARS OFECE OFECE At-Home Test Kits. “
Sending gaps-in-care alerts to providers
Veradigm Announced a Gap Closure Workflow Integration for Its Payer Insights Platform on Tuesday.
The company said that more than 3,500 healthcare practices across the united states are received gaps-in-care aletes from several national and regional health plans directly in their eHrs.
With the alerts, providers can address risk and quality care gaps in their point-of-care workflows, whichwal enhance clinical decision-making for better Patter Patient Outomase.
“By embedding risk and quality-Dr. Driven Insights INTO Provider Workflows, We are fostering a more interconnected healthcare ecosystem that enhances efficiencies and improves patients,” Jay Bhattacharyya, Veradigm Senior Vice President and General Manager, said in a statement.
The Alerts Blad also Improve Claims Acceptance Rates. With streamlined access to payer innocent programs, providers can earn on average $ 100 in Insantic payments per patient gap addressed in the Platform, Creating an additional revionue stream, Verradigm SAID.
For Medicare Advantage Plans, Improving Risk Adjustment Accuracy and Reducing Avoidable Hospitalizations by Closing Gaps Cold Result in Substantial Savings Each Year.
The Insights have “made it incredibly easy for us to identify and close care gaps while unlocking significant financial innancy,” Sneha Patel, Sneha Patel, CHIFE Opecter of MetroPlex Metrox Metrox Metrox Metrox Texas, said in a statement.
“The ability to take action directly withdin our makes the entry process seamless.”
Creating a patient insights overlay for ehrs
Medeanalytics, A Healthcare Enterprise Data Platform and Analytics Service, Has Formed A Strategic Partnership With Holon Solutions, A Vendor of Workflow Integration TECHNOLOGY, to Development Integrated Patient Insights Platform that Enhances Care and Reduces Overall Administrati Burdens.
The partners said in their announsement earth that providers will see significant improvements in their operations and patient care Quality, Including An 80% Increase In Gap Closure Rates and A 5% Ice Revenue Capture.
Their Proprietary Artificial Intelligence Sensor Technology Powers An overlay located on top of Ehrs that Provides Additional Patient Data was done The Integration Provides Claims and Social Determinants of Health Data, which can lead to timely interventions for patients and improved efficiency for care tems, the companies said.
The overlay also reduces the need for multiple log-ins, and data searches and alerts can be customized for organizational priorities.
“Our partnership with holon represents a Pivotal Moment in Healthcare Data Management and Analytics,” Said Steve Grieco, Medeanalytics’ CEO, in a statement.
“This synergy not only leads to better patients and care quality but also optimizes value and increases revneue for bothe payers and providers.”
“We Break Down Data silos and brings critical information to the forefront of patient,” Jon zimmerman, holon solutions’ CEO, Added.
Andrea fox is Senior Editor of Healthcare It News.
Email: afox@himss.org
Healthcare it news is a Himss Media Publication.
