Payer Solutions

• Executive Analytics
• Payer-Provider Transparency

• Medical Management Analytics
• Employer Transparency

• Operations Performance Managment
• Provider Network Management Analytics

MedeAnalytics delivers healthcare performance management solutions that improve
financial, operational and clinical outcomes, with compelling return on investment and rapid time-to-value.

Learn more about:

• Client Success
• MedeAnalytics Platform

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Executive Dashboard

Operations Performance Management links key performance indicators with health plan strategy to drive continuous process improvement and organizational optimization. From authorizations to claims processing to member services, health plan leadership utilizes actionable information drawn from disparate operational data sources matched with claims, authorizations and enrollment to align management incentives and minimize administrative waste.
Operations Performance Management is delivered via a web-based analytics platform and supported by experienced healthcare professionals to ensure rapid and sustainable results. With MedeAnalytics, clients have consistently experienced measurable improvements in administrative efficiency, provider relations and member satisfaction.

How do health plans use Operations Performance Management?

• Improve MLR
• Monitor processes for inefficiencies
• Measure care management activity
• Reduce claims cycle times
• Target interventions and measure their impact
• Track call cente rperformance, volumes and responsiveness
• Collaborate with providers to reduce denial volume
• Eliminate queues and bottlenecks
• Proactively match staffing levels with operational requirements
• Identify top-performing teams and key contributors

The MedeAnalytics Approach to Operations Performance Management

• Suite of clinical, financial and operational solutions for health plan management
• Strategic executive scorecards, personalized dashboards and dynamic analysis
• Healthcare advisory services, data analysis, hospital benchmarking and best practices
• Rapid configuration and ongoing healthcare support services
• Transformation of disparate data silos into a web-based, collaborative intelligence platform
• Software-as-a-Service delivery model requires no hardware, no software and no IT support