COPE Health Solutions and its Analytics for Risk Contracting, LLC (ARC) subsidiary have launched the first health analytics platform and solutions that integrate a health care organization’s claims, electronic health records, lab, social determinants and other data with CareJourney’s suite of cost and utilization benchmarks derived from Medicare and Medicaid datasets. The solution enables providers and payers to take analysis and benchmarking to an unprecedented level of performance, ease and usefulness.
Valuable, actionable insights from this information include:
- Evaluate, stratify and optimize network performance using both internal and external benchmarking and physician performance data based on both actual enrolled/attributed/assigned members and non-aligned members in Medicare fee-for-service for all lines of business to drive growth and acquisitions.
- Develop financial models of current and future-state risk-based arrangements and fee-for-service business, particularly Medicare risk programs such as Medicare Advantage, Medicare Shared Savings Program and the new ACO REACH program.
- Benchmark unit level costs using internal and external data to create targeted contracting opportunities by contract, product, market, physician and at the member level.
Please see the press release to learn more about the enhanced capabilities and range of solutions for leveraging them.
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