VBC Data and Analytics

Care Gap and Contract Performance Analytics
Care Gap and Contract Performance Analytics companies help value-based care organizations monitor performance against value-based contracts. They identify care gaps and coding opportunities to improve financial performance and provide varying levels of technical support to surface these insights where they are needed (e.g., EHR integration to surface care gaps to providers at point of service). Criteria: - Technical expertise in VBC contract performance reimbursement and risk adjustment methodologies - Analytics capabilities to identify care gaps based on population health data
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Population Health Data and Analytics
Population Health Data and Analytics companies help value-based organizations build a full understanding of the health of their population. Delivering on VBC outcomes typically requires access to a broader set of population data, such as claims data, ADT (admission, discharge, and transfer) data, EHR and clinical data, authorization data, pharmacy data, lab data, and social determinants of health (SDoH) data. Vendors in this category integrate these sources into a single platform and run analytics to generate population health insights. These analytics can include identification of high-risk patients for action or stratification of patients into risk cohorts for different interventions. Criteria: - Technical capabilities to ingest multiple data sources relevant to VBC and deliver in a single platform - Analytics capabilities to deliver population health insights relevant to VBC goals
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