Preventable hospital readmissions are costing the healthcare system approximately $25 billion on an annual basis. There are a number of reasons for readmissions including no follow-ups, poor medication adherence, and ineffective transition care.

Approximately one-third of current Medicare beneficiaries are participating in a Medicare Advantage plan against traditional Medicare. Despite the competitive environment, payers can drastically improve their outcomes and ensure the success of their program if they are able to enhance their Star Rating.

Osler Health already had a third-party analytics vendor in place and required an integration engine for its 27 practice sites that had to be connected to provide consolidated patient data. The clinical staff needed an uninterrupted and near-real-time data exchange for their panel of 350,000 lives to easily complete the required documentation and reporting procedures.

Healthcare providers are at a critical juncture, newly responsible for both the quality and cost of care that they furnish while also being asked to gain a deeper understanding of their patients’ risk factors. Recent studies demonstrate the importance of documenting and studying the SDOH, or the underlying non-medical factors that influence and determine a patient’s health status and health outcomes.

A leading Accountable Community of Health (AHC) based out of Pierce County, Washington wanted to tighten the care coordination process for their partners in the community distributed across many practice sites. The ACH was challenged to integrate data from different kinds of electronic health records (EHRs) and close referral loops for hundreds of patient records.

A leading managed service organization (MSO) sought actionable analytics to streamline its value-based initiatives. However, the network’s data was difficult to analyze due to an incomplete view of financial and clinical performance.

A leading PHSO with more than 3,500 providers and 310,000 patients sought to improve care coordination, manage resources, monitor performance, and engage patients with data-driven strategies.

A patient-centered healthcare approach powered by advanced analytics can enable providers to move beyond treating illness to facilitating proactive care. However, research shows that many patients discharged from a hospital return within 30 days due to inadequate care.

A leading Midwestern clinically integrated network (CIN) has more than 4,000 health practitioners and 200,000 patients in value-based care arrangements. The CIN previously struggled to determine which patients were at high risk for readmittance and to efficiently coordinate care.

The growth of Medicare Advantage (MA) plans is among one of the many challenges health plans face as they aim to optimize member care while maintaining high-quality compliance standards.