“Vital Data Technology has been a true partner from day one, collaborating with us to help automate and streamline our care management process. They have been invaluable in helping us develop custom assessments and care plans, which all integrated seamlessly into its Affinitē Platform. Vital Data’s deployment teams have also been extremely responsive and their innovative and agile approaches have taken a lot of the work off our own internal resources. The efficiencies gained from deploying the Vital Data platform has significantly advanced our care management process.”
Healthcare Safety-Net Executive
Helping Health Plans Nationwide Better Manage Member Care
Healthcare changes make effectively managing member care more challenging. The volatile regulatory climate combined with rising costs requires care management, quality and risk solutions capable of delivering real-time insights and actionable interventions.
Plans managing Medicare, Medicaid and dual-eligible populations must pay close attention to rapid changes in Center for Medicare and Medicaid (CMS) regulatory changes. New HEDIS® quality measures added annually addressing national health issues like opioid abuse and depression require constant vigilance throughout the year. We understand, that’s why our Affinitē real-time analytics engine informs every aspect of our Affinitē PlanLink™ platform, as well as individual compliance-driven modules: Affinitē Quality and Affinitē Risk.
As a private health insurance company, you offer your members the flexibility with plan options, but also are required to maintain high quality including NCQA’s HEDIS® standards and other plan-specific quality mandates. Additionally, as a commercial entity – whether for profit or non-profit – cost management is key. This is achieved by identifying member sub-groups sharing common care needs, prioritizing next-step actions and seamlessly communicating these across the care continuum.
More and more large corporations are choosing to gain control over their employees health costs by self-insuring and contracting directly with providers or outsourcing the management of the managed care organization. This new trend makes proactive population care management, with next-step interventions, all the more important. Employers not only benefit from better managing expenses, but improving the quality of their employees health, resulting in reduced absenteeism and higher quality work on the job.
Special Needs Plans
High-risk members are the most difficult to care for because of the complexities of treating chronic illnesses and rare diseases. These conditions often require multiple providers, making managing the cost of care difficult. As a Special Needs Plan leader, you must be able to vigilantly monitor your special-needs population’s care to optimize your CMS-HCC risk adjustment. Affinitē Risk enables you to proactively identify and micro-target your population based on prioritized criteria you set for optimized performance.
Trust Is Not Given, It's Earned
of HEDIS® Certification
HEDIS® Measures Tracked
Category (HCC) Risk Adjustment
We Take Your Data Seriously
Compliant and Secure Hosting of All Member Centric Data
The Affinitē platform is HIPAA compliant, HITRUST certified and secured by SaSS16 (SOC II) certified data storage.