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features
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support

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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 

Screenshots View All

Screenshots View All

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

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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