Mary Dale Peterson, M.D.
Chief Executive Officer
Making Providers Your Partner
How Affinite™ ProviderLink Aligns Health Plans and Providers
Health Plan Goals
Health plan can easily align providers with health plan quality improvement goals for strategic HEDIS® measures. Affinite™ ProviderLink uses artificial intelligence and advanced analytics to identify, stratify and prioritize members and their care gaps.
Improve Member Compliance
Often, members may not be in compliance with certain measures, which could have a negative outcome. Affinite™ ProviderLink solves this challenge by giving providers a specific list of patients to engage and each intervention needed at the time of service. This helps members stay on track with their health, reduces provider abrasion and accelerates HEDIS® medical record review compliance.
Provider and Patient Alignment
The provider web portal shows the real-time, prioritized list of health plan members who are their patients, and the members’ next-step intervention required for HEDIS® compliance (or other quality metric). Affinite™ ProviderLink also enables providers to set reminders, see all member care notes, lookup medical records, view Emergency Department (ERD) encounters, see patient health information and provide medical records to the health plan for review.
Provider and Health Plan Collaboration
By prioritizing the list of members providers see, Affinite™ ProviderLink ensures more member patients are brought into compliance faster. This approach aligns provider actions with plan goals for improved member outcomes and provider relationships.
Health Plan Finds Success Using
Affinitē ProviderLink For Payer,
Payer Aligns with Providers To Improve Key HEDIS® Measures By As Much As 9% With Affinitē ProviderLink™
A non-profit, community based health plan selected Vital Data Technology’s Affinitē ProviderLink™ solution to more closely align providers. Since the plan offered STAR Medicaid, STAR Kids, CHIP and CHIP Perinatal coverage, improving provider compliance with Annual Well Child Visit measures targeting adolescents and younger patients, AWC and W34, were their top priorities.
ProviderLink™ made it possible for the health plan to automatically prioritize HEDIS® measure interventions for each of their providers’patients. This process was formerly manual and required multiple calls and faxes back and forth to providers. Now, these interventions were communicated instantly thru the ProviderLink™ web-portal. When logged in, providers saw complete case management history, clinical, lab, pharmacy, emergency department visits and visits to other providers, even outside of their network.
Providers leveraged this 360° view of the member’s health via ProviderLink™ to rapidly close care gaps and send medical records updates to the health plan with one-click year-round, alleviating time consuming case chases during “HEDIS® season.”
12-Month Study Of Affinitē ProviderLink's Impact On Key HEDIS® Measures
In compliance scores for physicians using Affinite™ ProviderLink for Annual Well Child Visit for dolescents 12-21 years (AWC) , compared to non-user providers.
For physicians using Affinite™ ProviderLink for Annual Well Cild Visit for children 3-6 years (W34), compared to non-user providers.