Provider Solutions

• Executive Analytics
• Revenue Cycle Analytics
• Payer Performance Analytics

• Self-Pay Analytics
• Patient Access Intelligence
• Quality and Compliance Analytics

• Clinical Performance Manager
• Productivity 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

Payer Performance Analytics provides daily insight into the performance of all payer contracts and the entire claim adjudication process. Leveraging historical payer information, in conjunction with contract re-pricing and 835 ERA files, MedeAnalytics enables healthcare providers to establish robust payer performance metrics and scorecards.

Payer Performance Analytics is delivered on a web analytics platform and supported on a daily basis by experienced client service teams to ensure rapid and sustainable results. With Payer Performance Analytics, clients have successfully reduced denials and underpayments, negotiated more favorable contracts and increased managed care net revenue.

How do healthcare providers use Payer Performance Analytics?

• Identify and analyze underpayment trends by payer, contract, facility, DRG,
  patient type and reason code
• Benchmark payer performance based on volumes, revenue, case mix, time-to-pay,
  denials and overturns
• Compare and model payer contracts to isolate the impact of specific contract terms
• Establish payer “report cards” that aggregate all relevant information for contract negotiations
• Drill down into specialized “variance” work lists to prioritize follow-up activity on underpayments

** HFMA staff and volunteers determined that this product has met specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guaranty the use of this product.

The MedeAnalytics Approach to Payer Performance Analytics

• Suite of clinical, financial and operational solutions for hospital 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