Value-based Care Analytics

The case for a new analytic capability

Value-based Care Performance Management Analytics is a critical new analytic capability that healthcare entities at risk for the healthcare dollar need to have to succeed under the new payment and care delivery models.

The July, 2016 Gartner Hype Cycle for Healthcare Providers report recognized Value-Based Performance Management Analytics as an emerging and critical need.

Gartner advises HDOs to adopt a new, integrated approach to performance management for value-based contracts: “The new payment paradigms, however, call for the intersection of cost, quality and finance to achieve optimal results under the terms and conditions of risk and value-based contracts.”

This new, integrated approach to performance management requires a core set of sophisticated financial and analytic modeling, forecasting and management functions to optimize the performance of each value-based contract:

  • Financial modeling and performance
  • Quality of care metrics and performance
  • Medical loss ratio modeling and performance
  • Clinical pathway and integrated care performance
  • Network, leakage and referral performance
  • Cost and quality optimization performance

Cedar Gate Technologies (CGT) has built an integrated, advanced analytic platform specifically for risk and value-based contract performance management. Providers, payers, self-insured employers are using it to improve the performance of their contracts by between 15% and 25%.

Value Based Healthcare Opportunities