Medvensys Network360™ allows measurement of provider performance variation from a multi-dimensional perspective (Quality, Risk Score Accuracy, Care, Costs and Utilization) thereby allowing payers and risk bearing providers – to deploy the right kind of value-based contracts with the provider community. In addition, the platform presents actionable and integrated gaps (quality, care, RAF/HCC, predicted adverse events) attributed to providers – to improve clinical and financial performance.
Measure provider efficiencies to design networks that meet population characteristics and plans financial and clinical goals
Comparative Analytics and multi-dimensional indexing to perform peer group comparisons using regional and national benchmarks
Identify the right performance metrics along with targets for the right providers to drive performance improvement
Continuously measure provider performance (as against the metrics and targets) during the benefit-years to offer proactive support
Actionable provider level insights across care, quality, risk score accuracy, costs and utilization for provider engagement
Holistic profiling and benchmarking of physician performance and efficiencies – quality, care, cost, utilization and risk score accuracy trends – using advanced data visualization and analytics methodologies
Identify quality/care gaps, RAF/HCC gaps, and potential adverse events (ER utilization, readmissions, preference sensitive treatments etc) and drive provider engagement to improve plan-level clinical and financial performance.
Significantly improve network efficiencies by leveraging top performers and supporting low-performing providers through varied provider collaboration strategies.
Proprietary analytical models enable decision makers to identify suitable value-based contracting arrangements and support providers in their journey toward value based care.
Enhanced provider governance and targeted recommendations facilitated via performance reports to act on “low-hanging” opportunities to improve health outcomes.