Value-Based Care
Data and Analytics to Reduce Utilization, Improve Quality of Care and Optimize Financial Outcomes
Unity Value-Based Care offerings help provider organizations to manage risk associated with value-based care arrangements and optimize financial outcomes. Our solution aggregates raw claims from multiple sources to allow for seamless comparison and correlation across multiple payors, cohorts, cost of care & risk categories, geographical areas and other population health dimensions.
Utilization Management (“UM”) is critical in managing medical costs by reducing or eliminating unnecessary medical procedures. This is especially true for health organizations that are in shared risk arrangements with payors. Our solution operates almost as a flight deck by informing senior management on utilization data points that are outliers and require immediate attention. Our solutions will also inform stakeholders on the interconnectivity between different utilization metrics.
Risk sharing agreements work effectively only when reimbursement rates correlate to the cost of care. Our solution will utilize risk scores to effectively classify and manage high risk patients so that your organization can improve the quality of care and optimize cost outcomes.
Healthcare Organizations are required to assess and report measures of quality relative to defined benchmarks. Our advanced HEDIS engine helps proactively identify trends in quality performance and strategically prioritizes quality improvement initiatives.
Patient Segmentation helps see patient cohorts month over month and is key to track performance and improve population health across various care categories. We provide comprehensive cohort analytics to promote well-care, drive down costs and increase organization efficiency.
The end result of effectively managing utilization, risk, patient segmentation and quality is better financial and patient satisfaction outcomes to a Health Organization. Our programs effectively incorporate cost of care categories with utilization, risk and quality metrics so that health providers can zero in on areas that need improvement.