Top Challenges Health Plans Face Solved By The Affinitē Platform
Identifying, stratifying and
among millions, is hard
among millions, is hard
Use applied data science techniques to systematically segment members by specific criteria enabling actionable, timely interventions.
Health care data is not effectively leveraged to improve member outcomes
Case managers have real-time access to a holistic view of each member’s history in one dynamic, multi-faceted screen enabling greater efficiencies and productivity.
It is difficult to manage and track how well providers are performing to quality measures year-round
Track physician performance in real-time against custom and standardized quality metrics such as HEDIS® and CMS-HCC.
Health Plan Thought Leadership Series
Artificial Intelligence and Advanced Analytics
The Key To Unlocking Actionable Insights For Health Plans
Strategic, 4-minute read explains how the timely presence of Artificial Intelligence (AI), Machine Learning techniques and advanced analytics are catalyzing a new era for payers; dynamically leveraging previously siloed healthcare data for powerful improvements in quality management, risk adjustment, care coordination and even provider relations.
Mike Grover, PMP, MCP
Chief Technology Officer
Vital Data Technology
Everyone Across the Care Continuum Can Achieve More with Affinitē
Affinitē’s light-weight, rapid deployment as a cloud-based platform enables your organization to realize immediate value. The solution systematically normalizes structured and unstructured data so you can leverage and report on provider encounter data, clinical, prescription and even free-form notes. This approach alleviates burdensome disruptions of your current infrastructure and stores all member health data in a HIPAA compliant, HITRUST CSF Certified environment.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 Difference
Vital Data Technology’s goal is to revolutionize the traditional model of health plan led care management by aligning payers, providers and members with one platform. Our Affinitē fulfills this promise by delivering healthcare information technology that is actionable and strategically directed to the right stakeholders for a positive impact on your plan’s quality of care.
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.