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Analytics & Insights

Our solutions recognize the importance of data-driven insights, aligning operational and financial objectives and use financial projections as a powerful tool for continuous improvement and management in the health care industry.

Topics

Offered as Software as a Service (SaaS) or Platform as a Service (PaaS)

ARC was designed specifically for providers engaged in value based payment or “risk” arrangements, supports payer/provider collaboration on risk agreements

SaaS

  • Actionable Value Based Care Insights
  • SaaS access to ARC tableau and web-based applications for VBC Analytics and Operations. Data Analytics as a Service (DaaS) is an available add-on

PaaS

Normalized Report Ready Datasets for VBC Analytics and Operations. Our extract transfer load (ETL) process and code loaded into client cloud/servers with flexibility for BI tools.

Our Differentiators:

  • Team of expert MDs, NPs, PAs, RNs, BH, operations management, finance and network resources experienced in risk based operations supporting client adoption (for all products)
  • Extensive benchmarking capabilities and data, only analytics platform with Care Journey’s CMS Medicare FFS benchmark data integrated
  • Ability to aggregate multiple payer claims, EMR, lab, pharmacy, SDoH, biometrics and other data into a common data structure that enables a singular view across risk arrangements
  • Two way EMR integration with provider optimized workflows for clinical documentation, quality and total cost of care
  • Pre-set reports and dashboards focused on key health plan, IPA/CIN and health system roles complemented by market leading drill down and custom reporting capabilities including centralized member chase lists across TCOC, quality and HCC opportunities
  • Ability for provider performance quartile ranking against customized quality and efficiency measures
  • Extensive set of financial modeling tools including: Risk contract performance, physician performance targets, Physician Incentives, Specialty risk arrangements, across all lines of business and payers
  • Integrated network adequacy and optimization tools

Customized data analytics as a service which provides performance and initiative tracking, trend graph and high level insight identification, financial opportunity analysis, and more

Can be add-on to ARC and/or outsource or co-source of analytics function for a health plan, IPA, CIN, ACO, provider, etc.

Our Differentiators:

  • Flexible options from analytics advisory and temporary support to full or partial outsource of analytics
  • Access to clinical analytics, operational, network and financial experts to drive insights and performance improvement
  • Payer agnostic view of insights, proposed opportunities and recommendations based on population needs with flexible options for engagement including implementation and co-management

Information needed on this area. Recommend including differentiators or process for carrying this out.

Pre-set reports and dashboards focused on key health plan, IPA/CIN and health system roles complemented by market leading drill down and custom reporting capabilities including centralized member chase lists across TCOC, quality and HCC opportunities

Experts

Dan Serrano

Principal & Senior Vice President

Timothy Hudgins

Vice President

Andrew Smithson

Director