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features
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support

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Description

Enhance your value-based initiatives by swiftly evaluating and comprehending the expenses associated with episodes of care. Foster provider participation and engagement by facilitating discussions rooted in data and evidence regarding overall episode costs as well as the specific practice patterns of individual providers. Propel enhancements in cost and quality by addressing discrepancies in care delivery and performance among providers. Utilize analytics to empower value-based strategies, offering insights that assist in refining network structures and advancing clinical transformations. Discover opportunities for value-based care by analyzing episode costs, using clinically validated definitions for episodes. Engage providers in value-focused conversations by examining patterns of utilization, costs, and variations in care. Employ episode analytics to refine network designs, reshape clinical guidelines, and boost consumer engagement effectively. Simplify the process of creating episode budgets by establishing average costs per episode alongside the related clinical services, ensuring a comprehensive understanding of financial requirements. This focused approach not only drives efficiency but also lays a strong foundation for sustainable improvements in healthcare delivery.

Description

Address the complexities of value-based care regardless of your existing EHR system. Gain a comprehensive understanding of your patient demographics through consolidated data from various sources, presented in an intuitive visual format. Leverage data-driven insights to enhance the management of chronic diseases and facilitate smoother transitions in care, while also working to prevent illnesses, reduce costs, and enhance care management initiatives. Promote effective care coordination through tools designed for a proactive mindset, including a pre-visit dashboard, risk assessment capabilities, and automated monitoring of admission, discharge, and transfer activities. Activate care management strategies to broaden the reach of healthcare providers. Encourage essential patient interactions and ensure meaningful follow-up between visits. Utilize the Johns Hopkins ACG system for risk stratification to pinpoint patients most at risk for high-cost healthcare utilization. Efficiently allocate resources to areas where they are most urgently needed. Aim to elevate performance metrics related to quality care. Engage successfully in value-based payment initiatives and maximize reimbursement opportunities as you navigate this evolving landscape. By implementing these strategies, healthcare organizations can improve patient outcomes and foster a more sustainable care environment.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

RouteGenie Yes 

Integrations

RouteGenie No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Change Healthcare

Founded

2007

Country

United States

Website

www.changehealthcare.com/solutions/value-based-payments/healthqx

Vendor Details

Company Name

NextGen Healthcare

Founded

1974

Country

United States

Website

www.nextgen.com/how-we-help/population-health

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management No 
Electronic Claims No 
Forms Management No 
Paper-Based Claims No 
Payor Management No 
Policy Administration No 

Product Features

Big Data

Collaboration No 
Data Blends Yes 
Data Cleansing Yes 
Data Mining Yes 
Data Visualization Yes 
Data Warehousing Yes 
High Volume Processing Yes 
No-Code Sandbox No 
Predictive Analytics No 
Templates No 

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management Yes 
Electronic Claims No 
Forms Management Yes 
Paper-Based Claims No 
Payor Management No 
Policy Administration No 

Healthcare CRM

Audience Targeting No 
Campaign Management No 
Marketing Automation No 
Medical History Records Yes 
Patient Communications Yes 
Patient Management Yes 
Physician Management Yes 
Predictive Analytics Yes 

Patient Engagement

Appointment Scheduling Yes 
Care Planning No 
Collaboration No 
Messaging No 
Mobile Access No 
Patient Education Yes 
Patient Portal Yes 
Personal Health Record Yes 
Progress Tracking Yes 
Self Management No 

Population Health Management (PHM)

Analytics Yes 
Cost-of-Care Analysis Yes 
Data Storage Yes 
EMR/EHR Integration Yes 
Patient Engagement Yes 
Patient Identification Yes 
Patient Risk Stratification Yes 
Patient-Reported Outcomes Yes 
Payment Bundling Yes 
Predictive Alerts Yes 
Test & Treatment Reminders Yes 
Utilization Tracking Yes 

Predictive Analytics

AI / Machine Learning Yes 
Benchmarking No 
Data Blending No 
Data Mining Yes 
Demand Forecasting No 
For Education Yes 
For Healthcare Yes 
Modeling & Simulation No 
Sentiment Analysis No 

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