Analytics are critical to ACO REACH success. Learn more about what Cedar Gate offers to drive your value-based care goals.
We can help you take the next steps to attain better outcomes for the populations you serve while achieving financial savings that exceed the CMS discount in the model. We offer the first end-to-end solution that addresses all aspects of the ACO REACH program.Watch Our ACO Reach Video Series
How Cedar Gate Value-Based Care Analytics Can Help
Identify health equity insights by accessing data in our powerful enterprise data management tools. Informed by CMS files and the Area Deprivation Index, REACH ACOs can develop an impactful health equity plan to help improve access to care and health for the beneficiary population.
Actuarial modeling technology projects performance based on available CMS or EHR data, and the parameters of your specific ACO agreement or contract. You can use these actuarial insights to determine the most advantageous ACO REACH participation option.
Enrich beneficiary data with HCC scores sourced from CMS and HHS sources. Use this information to identify coding opportunities within the population. Additionally, you can pair our Value-Based Care Analytics application with our Care Management application to automatically place cohorts in task-based workflows that inform patient outreach and pre-visit planning to address HCC coding opportunities.
Assess the profile of populations that are aligned with a provider. Surface insights related to provider performance, and key attributes of the patient population, which you can leverage in prospective beneficiary attribution strategies.
Power the complete capitation adjudication process and automatically distribute capitation payments using our Capitation Adjudication module that was purpose-built for models like ACO REACH. Avoid the errors and manual work you are likely to encounter when you try to use a legacy solution that was originally built for fee-for-service payments to adjudicate capitated payments.
Integrate key data types, like CCLF, CRF, and 837 transaction files using our Capitation Adjudication and Value-Based Care Analytics applications together. These tools model the distribution of capitation payments and reconcile expected vs. actual capitation payments to ensure the correct payment was received.
Use our Enterprise Data Management System interface library to collect inbound data from 35 domains. The system cleanses, enhances, and augments your data using thousands of rules and parameters. You get a high-value dataset that is continuously refreshed and available through standard APIs in all the applications on our value-based care platform. You can also connect to third-party applications with our data warehouse via published interfaces to share clean, usable data with other vendors or applications as needed.
The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you. Learn more today!