Learn: Payer

Success Story
Analytics and Provider Operations Support Generates Nearly $2M in Shared Savings

Acuitas Health was challenged to identify opportunities for shared savings, reducing cost while also improving quality outcomes. Using Acuitas Health’s advanced analytics, providers and payers can now connect, communicate, and share insights that enable the organizations to identify opportunities to decrease costs for all partners, and increase outcomes that yield benefits in several areas, including quality improvement, claims optimization, and risk adjustment.

Insights
Resetting Payer-Provider Arrangements for COVID-19 and the Evolving Improvement Journey

随着大流行导致供应商数量减少，医院资源紧张，该行业再次迫切需要制定政策，在降低成本和增加收入的同时取得更好的结果。今后，医疗保健必须根据2019冠状病毒病疫情后的环境调整其支付方-提供商的绩效标准。

Renewed approaches to the following models will consider the impact of remote care, how to reimburse telehealth services, and the need for consistent payments to providers

Success Story
Analytics Improves Population Health and Drives Efficiencies

Agilon health是一家与医生组织签订完全风险合同的组织，该组织需要一种方法来帮助其医生合作伙伴和护理管理人员迅速识别健康状况恶化和成本增加的病人。然而，由于人工审查数据的速度缓慢，要更深入地了解这些患者的健康状况和相关费用是很复杂的。通过开发分析应用程序，agilon health能够将其数据转化为可操作的见解，实现许多手动流程的自动化，并最终提供针对性的改善干预措施，以更好地提供护理。