With the transition from a fee-for-service to a value-based care model, healthcare providers (HCPs) are being reimbursed based upon the quality of patient care, rather than the quantity of care provided. This type of reimbursement depends upon their patients’ conditions being accurately coded; and accurate coding often depends on identifying risk and quality gaps.
Identifying gaps is only half the battle, though: closing them requires the active cooperation of the patient’s healthcare team. To maximize that cooperation, you need an approach that minimizes provider abrasion and alert fatigue. Veradigm’s Provider Engagement Solution, Collabor8, is one of a suite of solutions created to optimize payer-provider interactions in order to choreograph gap closure efforts to be as efficient and effective as possible.
Collabor8 connects member-level risk adjustment and quality data at the provider and group level. These connections enable you to identify the specific providers or groups presenting the best opportunities for engagement, allowing you to use your outreach dollars most effectively.
Analyze, prioritize, and benchmark data via the intuitive and easy-to-use health plan-facing dashboards. Collabor8’s health plan-facing dashboards include metrics for opportunities for pharmacy, quality, and risk adjustment, including:
Dashboards with combined risk, quality, and pharmacy metrics assist you in identifying groups, providers, and members with the greatest overall impact—enabling you to determine your optimal focus priority. This assists you with reducing provider burden and minimizing wasteful encounters.
Dashboards also provide side-by-side views of opportunities across products to assist you in identifying practice-specific patterns, such as a group practice that exhibits poor abstracting and coding. In addition, both telephone-based and web-based support ensures customer support services are available to help you make the most of all Collabor8’s features.
When trying to communicate with providers, payers are competing for physicians’ time. Today’s physicians struggle to balance the demands of patient loads, administrative tasks, EHR use, and more. A new study reveals that physicians spend an average of over 16 minutes per patient visit in their EHRs, time that adds up to a significant portion of their day. For some specialties, that number is even higher.1
Collabor8 helps you better engage providers by streamlining payer-provider communications. It makes interactions more efficient with integrated alerts from all Veradigm’s Payer products. Collabor8 is also designed to integrate into multiple different workflows to minimize provider workflow disruption and offers Single Sign-On access from the existing provider portal.
Perhaps most importantly, Collabor8 encourages provider collaboration and engagement by delivering value to providers at multiple levels:
Collabor8 education program provides access to live webinars every month, attended by hundreds of clinicians and provider office staff. Educational opportunities also include 13 AAPC CEU-approved webinars contributing toward various certifications for practice coding staff.
Collabor8’s combination of dashboards, alerts, educational opportunities, and other features together fuel a strategy that improves gap closure and reinforces the provider’s efforts in the face-to-face patient visit.
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