Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Claims processing can stretch over several months, making it increasingly challenging to control associated costs by that time. A mere few minutes of delay in recognizing patient activity can lead to an unwarranted and expensive hospital admission, which is crucial in the realms of care coordination and achieving success in value-based contracts. MemberMatch delivers these critical insights instantly, equipping care teams with timely intelligence that enables them to proactively and efficiently address active care episodes. This approach assists risk-bearing organizations in enhancing both the quality of care and the financial implications of member interactions throughout the care continuum, ultimately resulting in improved patient outcomes and a healthier financial situation for the organizations accountable for their well-being. By facilitating connections between your care team and the clinical staff involved, essential context can be provided to improve the quality and cost-effectiveness of encounters, helping to prevent unnecessary admissions to out-of-network facilities and redundant testing. In essence, this real-time data empowers healthcare providers to make informed decisions that can significantly benefit both patients and their organizations.
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
Integrations
No details available.
Integrations
No details available.
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
No
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
No
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
Experian Health
Founded
1994
Country
United States
Website
www.experian.com/healthcare/products/care-management/manage-aco-passport-to-health-membership
Vendor Details
Company Name
NextGen Healthcare
Founded
1974
Country
United States
Website
www.nextgen.com/how-we-help/population-health
Product Features
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