story Use Cases

Risk & Performance Management Storylines

Multi-Specialty Physicians Group Additional Shared Savings through Data Reconciliation

A multi-specialty physicians group serving over 100,000 lives in Orange, Sullivan and Ulster Counties in NY has 9 value-based-care risk contracts within Medicaid and Medicare line of business. Due to financial responsibilities with such contracts,...

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Optimizing IPA's Performance and Efficiency with Bridge

This Nashville-based customer is an Independent Practice Association, Medicare Advantage Organization, and Value-Based Care entity that partners with leading physician groups to transform the standard of care...

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Managing CIN Network Leakage

Our Clinically Integrated Network customer that serves approximately 40,000 attributed patients in New Jersey, spanning Medicare, Medicaid, and commercial populations is committed to creating access to high-quality healthcare services...

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ACO's Priority Patient Custom Logic in Members

An Accountable Care Organization, in partnership with a clinically integrated network, manages patient populations of eight different Medicare Advantage and Commercial plans. Strategically,...

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HEDIS® Supplementary Files with New York's Capital Region

A major barrier to accurate, timely reporting is the lack of uniformity in EMR systems across practices, as disparate systems isolate necessary data for efficient reporting. Consolidating practices to a single EMR can cost up to $70,000 per physician and result in a 50% reduction in adjusted income...

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Quality Supplemental Reporting Update with our New York IPA Customer

The comprehensive picture of the care and services delivered utilizing this supplemental data enhances HEDIS® measures and facilitates quality gap closure. Incorporating centralized supplemental data simplifies data attainment and saves time, money, and resources while simultaneously improving the data...

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CIN Centralized Performance Management

This Clinically Integrated Network in New Jersey was formed with the mission of allowing area physicians and the medical center to work more closely through a collaborative model...

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ACO & CIN's GPRO Reporting

This customer is an Accountable Care Organization and a Clinically Integrated Network (CIN) made up of independent, contracted, and employed physicians together with a Medical Center serving a population of 45,000 in New Jersey...

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ACO's Use of DeRisk to View Comprehensive Patient HCC Insights

This customer is a Basic Level E track whose governing body founded a new ACO in 2020 with a shift in patient lives and recruitment of new practices into this ACO. Hierarchical Condition Categories (HCCs) became a pathway...

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Risk Stratification for Large, Self-Insured Employer Group

This group of large, self-insured employers spanning the Colorado region is under a larger non-profit organization's umbrella. The employers can work with doctors and administrators in regional hospitals and primary care provider networks...

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