Increase Transparency and Collaboration with Providers

Create a more transparent and collaborative experience when engaging with your provider network

  • Take a more pro-active approach to improving quality
  • Work together with providers to create better outcomes for members
Collaboration with Providers
provider

Create Targeted, Provider-Specific Incentives

Payers have data-backed confidence in the incentives driving higher quality care for their members.

  • Identify Provider-Specific Target Areas for Improvement
  • Partner with Providers to Create Better Outcomes

More Closely Monitor Provider’s Quality Improvement Efforts

Add and find all Provider details in one single user-friendly application. Monitor the quality improvement progress for each Provider

  • Set Performance Benchmarks
  • Consolidate Relevant Data
  • Track Provider Quality Progress
Payers
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Customize Measure-Specific Reports

Payers can build customized reports to manage hospitals & measure groups, manage target criteria for each provider and quickly share reports externally.

  • Real-time insights
  • Provider-facing Quality Report Cards

Effectively Manage the Quality of Care Members Receive

Hospital Quality Management aggregates performance data from various sources in order to establish a level of accountability between Payers and Providers.

  • Centers for Medicare & Medicaid Services (CMS)
  • The Joint Commission (JTC)
  • Healthcare Effectiveness Data & Information Set (HEDIS)
Quality