PAYERS
Use Data & Insights To Enact Consumer Centric Care Models
Ingest, aggregate and manage member, claims, clinical, Rx, lab and network data
Dashboards
Analyze health outcomes and quality measures for maximizing payer incentives and delivering better health. Use dashboards for visibility into financial and operational data in order to control costs and increase savings while delivering Quality Care.
Robust Reporting
Cover robust reporting on the HEDIS/ MACRA/ MIPS/ GPRO Quality Measures, generates expenditure and utilization reports using CCLF claims data automatically use reports to compare costs across the facilities and practices.
Go beyond Identification & stratification of patients
Get Information
Get performance and cost utilization information obtained from the claims data and process reports at each payer and provider level to all the providers and facilities for decision making.
Tracking
Help to track the savings to be shared with different providers based on performance or contributions for shared savings metrics, gain visibility into patient population for member practices – including high risk patients – use built in a mechanism to define separate contracts for each provider based on sharing of cost and high risk patient distribution.
Securely share data and AI insights across your network
Prediction
Predict chronic condition development, prevent unplanned ER visits, hospital admission or readmission, performs cluster analysis to predict disease progression and/or adverse events.
Compare Outcomes
Compare outcome improvements and know root cause for what works and develop and drive high performing network by securely sharing data and insights for better outcomes.
Prescriptive analytics to intelligently assess and design new products
New Business Models
Enable new rules of post pandemic giving the ability to invent new business models to ensure business outcomes to create a sustainable differentiation in the marketplace.
Retain Customers
Maximizing the ability to retain customers, enable new source of revenue with new product lines or services and finding new markets.