The Association for Community Affiliated Plans (ACAP) has selected Vital Data Technology, LLC, a data science driven healthcare information technology company, as a preferred vendor in the following categories: Analytics, Business Intelligence and Performance Management; Care Coordination Management Technology Solutions; and HEDIS® Quality. ACAP is a national association that represents not-for-profit Safety Net Health Plans. Collectively, ACAP plans serve more …
Optimal Member Care Is Not Possible Without a 360-Degree View Powered by Real-Time Analytics And Artificial Intelligence
As we outlined in the first post in this series, the promises of healthcare IT have not been realized due to the functional and technological disconnects between payers, providers, caregivers and members. These disconnects create an incomplete view of the member’s health and prevents healthcare stakeholders from collaborating effectively to deliver the best care and quality at the lowest risk …
Why Chronic Payer, Provider and Member Disconnects Are Only Cured By Aligning Quality and Care Management
As we discovered in our first post, the traditional fee-for-service payment models of the past perpetuated siloed business processes among payers and providers. Thus, Healthcare IT solutions followed suit. But value-based care and member-driven choice plans like Medicare Advantage plans are demanding more collaboration among stakeholders, systems, data and operations. Yet, legacy IT systems, functional bottlenecks, and payer, provider and member disconnects – make realizing coordinated outcomes a seemingly insurmountable task, rather than a reality. Common challenges faced by each member of the healthcare ecosystem include: Care managers struggling to effectively …
Solving the Failed Promise of Healthcare IT with Payer Sponsored, Provider Aligned, Member-Centric Data Solutions
In 2020, payers and providers alike are striving to improve care and quality, while managing risk and controlling costs to embrace value-based reimbursement and capitalize on new opportunities catalyzed by an aging population and driven by choice as with Medicare Advantage plans. Over the past decade, payers and providers were told that these improvements could be realized by embracing healthcare …
The Cure For America’s Healthcare Crisis Is Found In The Power Of Alignment
America’s healthcare system is in crisis. The problem is complex. While they are all intertwined, the egocentric behavior of payers, providers, employers, and governmental branches weighs down an already bloated system. Each stakeholder seeks to achieve specific goals in the zero-sum pursuit of individual returns. This egocentricity continues to drive costs up at an unsustainable rate. Case and point, over …