SOLUTIONS

Enabling Payer-Provider Transparency and Collaboration Through Healthcare Analytics

Every population health or quality initiative shares a similar goal – better care at lower costs. Healthcare analytics play a significant role in helping you identify the most impactful cost, quality and behavioral drivers to achieve effective population health management. 

Clinigence Health’s healthcare analytics solutions help payers and providers improve the quality and cost-effectiveness of care, enhance population health management and measure provider performance. Our solutions bring both payer-multi-provider and provider-multi-payer views together in a single source that spans the continuum of care.

Click on any of our capabilities below to learn more:

Integrated Solutions for The Healthcare Industry

Our healthcare analytics solutions are delivered in easy-to-use, dynamic, interactive reports, dashboards and visualizations that enable deep drill-down capabilities and powerful filters to help end-users quickly identify and take action on the most impactful and accurate data-driven results.

Health Plans

As a health plan, you face an exceedingly complex and ever-evolving healthcare landscape. 

Equip your finance, clinical, quality, population health and care management teams with turnkey, easy-to-use solutions that provide actionable intelligence you need to inform and collaborate with providers on overutilization, gaps in care, performance, and more. Allow your providers to see their own data and how they compare to their blinded peers in an effort to bridge the historic gap between payers and providers, creating true payer provider transparency.

Providers

Providers are under enormous pressure to reduce costs and increase the quality of care delivered. Providing appropriate and effective care demands actionable intelligence, derived from the multiple systems of record. 

As providers move into more value-based risk contracts, the ability to manage care within a specific budget requires tools similar to what payer organizations use to manage their budgets.

Third-Party Administrators

As a third-party administrator (TPA), you’re looking for new ways to differentiate your organization and help your customers drive down costs, while providing competitive benefits to their employees.

 

To help your customers manage costs, you must understand the most cost effective medical services and performance of the providers in your network. You also need to know how your customers can improve their employee incentive and wellness programs to influence behavior by promoting preventive medicine and utilization of medical services more appropriately.

Clinigence Health Clients