Health plans, insurance companies, managed care organizations, government agencies and, and other payers face an important challenge: driving cost control while also delivering top-quality care and improving health outcomes for their members.
Comprehensive healthcare payer solutions help organizations harness robust data analytics and management systems to streamline operations and reduce unnecessary expenditures.
Deliver advance solutions for risk and quality management
Ensure accuracy and efficiency in data management
Drive superior outcomes with healthcare payer data analytics for Quality
Future-proof your risk adjustment and claims by bringing them together.
Improve outcomes for patients and minimize risk appropriately via care gap alerts at the point of care.
Veradigm Payer Insights is an innovative solution that allows payers to deliver care gap alerts to their providers within the patient’s electronic health record (EHR). As part of a network of over 100 payers, these alerts include relevant, patient-specific considerations for the provider to evaluate, respond to, and address with the patient
When practices use veradigm payer insights, it helps payers to:
Optimize payer-provider interactions in order to choreograph gap closure efforts to be as efficient and effective as possible.
Collaborate offers solutions to address gaps in care related to a patient’s condition and quality of care, helping provider groups to code correctly and precisely, and to identify patients who require follow-up due to gaps in care or are at high risk.
Streamline payer-provider communications with efficient interactions that complement the provider workflow.
Veradigm offers a robust healthcare payer platform that integrates advanced healthcare payer software with cutting-edge payer solutions software, designed to streamline operations for health plans and insurance companies.
Veradigm’s solutions apply to various healthcare payer analytics use cases, including risk adjustment, cost management, and quality care improvement, to provide the versatility and depth payers need.
Learn more about our healthcare payer technology solutions today.
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