Health Plan Operators
Providers Performance Assessment
* Visualization and Care Management
* Patient - Results Management
* Modeling value contracts
Monitor the performance of your providers and act to improve the care, experience and satisfaction of your beneficiaries. Segment your beneficiaries and obtain consolidated data on your experience and satisfaction with providers.
Use quality indicators to develop and monitor value-based contracts , where everyone wins.
* Patient - Results Management
* Modeling value contracts
Monitor the performance of your providers and act to improve the care, experience and satisfaction of your beneficiaries. Segment your beneficiaries and obtain consolidated data on your experience and satisfaction with providers.
Use quality indicators to develop and monitor value-based contracts , where everyone wins.
Claims Management
* Population management
* Chronicle Cases Management
* High Cost Management
Segment your beneficiaries, visualize risk levels, better track costs and take preventive action to reduce claims. Meet AlldaCare to identify and monitor chronic patients, or those with the potential to, and thus act in the prevention of disease progression and in the management of high-cost treatments.
* Chronicle Cases Management
* High Cost Management
Segment your beneficiaries, visualize risk levels, better track costs and take preventive action to reduce claims. Meet AlldaCare to identify and monitor chronic patients, or those with the potential to, and thus act in the prevention of disease progression and in the management of high-cost treatments.
Value-Based Procuring
* Sharing Economy
* Risk Sharing
* Evaluation and Monitoring of PBM
Strengthen partnerships with drug suppliers and their providers for a win-win condition: visibility of their providers' performance and results for beneficiaries, lower costs for everyone and contracts for their suppliers. Establish and manage performance-based contracts through a unified pool of data collected directly from providers.
* Risk Sharing
* Evaluation and Monitoring of PBM
Strengthen partnerships with drug suppliers and their providers for a win-win condition: visibility of their providers' performance and results for beneficiaries, lower costs for everyone and contracts for their suppliers. Establish and manage performance-based contracts through a unified pool of data collected directly from providers.
Health Analytics
* Predictive Analytics
Access, combine and analyze health data to, in addition to understanding past performance, and generate insights into what might happen in the future. Identifying opportunities for quality improvement and cost reduction, planning & executing interventions in a timely manner can improve outcomes and prevent against unnecessary costs. Developing and including "Analytics" in the decision-making process is fundamental to achieving the goals set for Value-Based Health:
Improve health / clinical outcomes
Improve the patient experience
Reduce care costs
Access, combine and analyze health data to, in addition to understanding past performance, and generate insights into what might happen in the future. Identifying opportunities for quality improvement and cost reduction, planning & executing interventions in a timely manner can improve outcomes and prevent against unnecessary costs. Developing and including "Analytics" in the decision-making process is fundamental to achieving the goals set for Value-Based Health:
