MedeAnalytics Healthcare Analytics

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How can Provider Network Management Analytics
help you?

Establish and validate tiered value networks based on cost and quality

Collaborate with providers to reduce the cost of care and eliminate administrative waste

Detect systematic up-coding, unbundling and duplicate claim submission to reduce potential for improper payment

Set targets and alerts to align to organization objectives

Benchmark provider performance against severity-adjusted network metrics to identify underperformance and best practices

Provider Network Management Analytics enables health plans to proactively monitor provider network performance and align provider incentives with plan goals. This solution reduces administrative overhead by providing continuous, actionable intelligence. Provider relations staff members are empowered to evaluate the efficiency of their networks, implement quality improvement initiatives and ensure appropriate, efficient care. Provider Network Management Analytics leverages disparate data sources and customized business rules to create detailed, comparable and trusted information.

MedeAnalytics delivers web-based performance management solutions that enable healthcare payers and managed care organizations to aggregate claims, membership, authorization, pharmacy and call center data into a unified analytics portal that drives both internal decision making and collaboration with provider partners. Key performance indicators, dashboards and benchmarking statistics are shared between payers and providers in an interactive web-based application that increases transparency into administrative costs, practice pattern variations and clinical quality initiatives.