Health Plans Face Three Common Challenges
#1 – Identifying, stratifying and
prioritizing members, among millions, is hard
Use advanced Data Science to prioritize members by specific criteria, leading to actionable, timely interventions.
#2 – Health care data is not effectively leveraged to make member-specific impact
Case managers have access to every provider, lab, prescription and more in real-time for a holistic view of member care history.
#3 – It is difficult to accurately manage risk across your population for maximum reimbursement
Track physician performance against HEDIS®, HCC and other quality measures for improved provider relations.
Health Plan Educational Event
Increase Your HEDIS® Scores by Making Your Medical
Record Review Easier and More Meaningful
July 18, 2018 | 1:30pm – 2:00pm CST
WITH SPECIAL GUESTS:
Zola B. Trascher, BSN, CPC
Director of Quality and Clinical Informatics
Everyone Across the Continuum of Care Can Achieve More with Affinitē
Empower your team with modular deployment, the ability to ingest structured and unstructured data – all without the burden of disrupting your current infrastructure. Rest assured member health data is secure with HIPAA compliant, HITRUST CSF Certified SaaS platform deployment for lower cost of ownership and enterprise class security.Enter Your Text
PlanLink leverages the Affinitē platform’s artificial intelligence data models and real-time analytics to identify and prioritize member sub-groups. Automated workflows identify interventions and provide systematic alerts notifying case managers, providers and members of next-step actions, while documenting every step. This allows you to instantly measure plan and provider performance against quality metrics and programs.Enter Your Text
Seamlessly integrate network physicians into the plan sponsored care management process with communications and alerts to align health plan goals with provider behavior for closure of HEDIS® care gaps, astute medication compliance, effective ER utilization and more. Physicians have a 360° view of every member’s encounters, pharmacy and lab results, thus removing traditional communication barriers for optimized plan and provider cooperation.Enter Your Text
Updates to the Hierarchical Conditions Category (CMS-HCC and HHS-HCC) models must be implemented to optimize your risk adjustment for maximum reimbursement. Affinitē Risk uses artificial intelligence and automation to continuously adjust risk for your population for accurate payer and provider reimbursement.Enter Your Text
Directly engage members on their mobile devices with systematic “alerts” in app. Notify providers automatically so they are informed of member care needs and can take action. Providers have access to a 360° view of the member’s complete care profile including encounters, pharmacy, clinical and lab results. Members may also store personal information, perform provider searches and more.Enter Your Text
Affinitē Quality provides one solution for all your quality programs including NCQA’s HEDIS® scores, CAHPS, CMS Star, and plan specific programs. Alleviate care gaps when they happen by staying ahead of them with member- specific prioritized insights. We take HEDIS® from a process measurement to outcomes and results. Data, stakeholders and systems must be aligned to optimize member outcomes.
Why Our Approach Makes All The The Difference
Vital Data Technology’s goal is to revolutionize the traditional model of health plan care management by giving payers, providers and members a comprehensive solution, deployed modularly, that fulfills the promise of health care informaHon technology as a pathway to insight capable of delivering positive member outcomes.
We enable key stakeholders across the care continuum to better manage quality and coordinate care with our Affinitē platform using HEDIS®, HCC and clinical compliance guidelines, combined with artificial intelligence and machine learning to aggregate data from disparate systems and leverage it collaboratively across plans and providers.
Our Affinitē solutions suite does more than provide deep-insight reporting. It automates workflows and effectively operationalizes truly coordinated care management to achieve “precise” member-by-member impact.