Transforming Risk Adjustment with Health Chain
Health Chain empowers Payers to manage the health of their population with precision by identifying gaps in care, proactively implementing targeted interventions and ultimately reducing the care management burden for providers to optimize the cost of care.
Data Integration Simplified
Streamlined Data Extraction
Unlocking Usable Data
Immediate Access to Historical Clinical Data
Real-Time Insights from Data
Why Choose Health Chain?
Eliminate costs of chart chasing to access the right data for risk adjustment.
Ingest structured and unstructured data enabling universal view of members' longitudinal records.
Do not have to spend 6-18 months building up a complete and accurate risk profile on new members.
Empower RA teams to run adhoc queries to access data as they need it, when they need it and where they need it
Efficiently extract HCCs and ICD-10 codes without parsing through different data sources.
Perspectives by Health Chain
Read insights from Our Risk Persona
Upcoming Webinars
Mark your calendars for our upcoming webinars – discussing how Payers are implementing digital platforms to better integrate data across business units. Choose an area of focus below:
What Data Do Risk Adjustment Teams Need to Access to Reduce Provider Burden?
October 18th 2023, 11am PST
Integrating diverse data sources empowers Risk Adjustment teams to streamline operations, reduce redundancy and relieve providers from excessive documentation demands – ultimately enabling more impactful retrospective and prospective risk programs. A comprehensive Digital Healthcare Payer Platforms allows for Risk teams to unlock, integrate and adeptly apply insights sourced from a triad of vital data streams integrated into one longitudinal member view:
- extracts comprehensive patient clinical profiles, ensuring a holistic understanding of each individual’s health status in real-time.
- PDF Charts: provides granular clinical details, enabling nuanced risk assessment while providing documentation to support audits.
- Claims Data: offers a side-by-side comparison of real-time clinical profiles with the claims being submitted by providers to ensure payer-provider alignment.
Digital Healthcare Payer Platform to Better Understand ICP (Ideal Customer Profile)
September 5th 2023, 11am PST
A Digital Healthcare Payer Platform offers an invaluable avenue to delve into the intricacies of a Health Plan’s Ideal Customer Profile (ICP). By leveraging advanced data analytics and machine learning, Payers can:
- Analyze historical leads and sales data to identify acquisition and conversion trends to drive tailored outreach strategies.
- Leverage AI-driven insights to prioritize member acquisition campaigns and efforts.
- Identify the right prospects for the right insurance product based on population-level trends.
Digital Healthcare Payer Platforms Enable Improved Digital Experiences for Members
September 20th 2023, 11am PST
Digital healthcare payer platforms have revolutionized the way health plans create tailored member experiences and healthcare services. Payers can:
- Consolidated view of historical claims data, utilization patterns and member behaviors to drive white-glove experience.
- Facilitate real-time monitoring of member encounters, providing insights into preferences, engagement levels and potential for care gaps.
- Allow Members to navigate their care journeys effortlessly by making informed + collaborative decisions to launch tailored care on-demand services.
Personalizing Care: A Clinically-Oriented Data Approach for Payer Quality Organizations
October 3rd 2023, 11am PST
The synergy of technology and healthcare expertise propels Payer Quality teams to deliver a higher standard of care, transforming the healthcare landscape into a more personalized and effective experience for patients. Digital Healthcare Payer Platforms help Quality teams to:
- Gain deep insights into patient health profiles, treatment histories and risk factors.
- Ensure early identification of health issues, tailored intervention strategies and optimized care coordination.
- Bridge the gap between Payers and Providers for improved patient outcomes with both population and individual member-level quality analytics.
Maintaining Data Governance Through Digital Transformation
November 2nd 2023, 11am PST
As the healthcare industry undergoes rapid digitization, ensuring the integrity, security and accessibility of sensitive patient data becomes a critical concern. In a landscape where data breaches loom large, these Digital Healthcare Payer Platforms emerge as sentinels of trust, fortifying the healthcare ecosystem for a secure and interconnected future.
- From streamlining claims processing to optimizing patient-provider interactions, these platforms not only enhance operational efficiency but also safeguard patient privacy through robust data observability frameworks.
- By seamlessly integrating data management, analytics and compliance measures, DHPPs empower Payers to navigate the complexities of digital transformation while maintaining the highest standards of data governance.
Unlocking Transformation: Journey from Monolithic Legacy Solutions to a Universal Data Layer
November 16th 2023, 11am PST
By enhancing data fluidity, fortifying adaptability and unlocking the potential of cutting-edge technologies, Digital Healthcare Payer Platforms propel Payers towards a more agile, efficient and patient-centric future. DHPP illustrates the future state of Payer organizations:
- Centralized data architecture fosters seamless integration and data flow across various departments, eradicating silos that hinder collaboration and efficient decision-making.
- Real-time data access and analytics empower the organization to make informed decisions promptly, enhancing customer experiences and optimizing cost management.
- Transforms Payer organizations into proactive entities, capable of anticipating patient needs and increasing their role in collaboratively managing care with providers.
