In a value-based care future where healthcare stakeholders are taking on more risk, payers must bridge the information gap between network providers and plans. Our composable platform provides the tools to engage providers as partners to improve member care, reduce total cost of care, and achieve quality metrics that lead to better outcomes for patients and members. We’ve compiled resources from our experts and industry insights to help you succeed in your VBC journey.
Capitation can stabilize costs with focus on preventive care, but without clear financial insights, budgeting and forecasting become a guessing game.
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Achieves $2 Million in Savings
Kairos Health Arizona faced a triple threat of issues that undercut its ability to confidently manage data processing, and establish actionable steps for higher quality value-based care. They needed a strategic partner to improve their data capabilities, and Cedar Gate was the perfect solution. READ THE STORY >
Organization Type: Public sector entity that runs an employer broker risk program
Location: Arizona
$2 million in aggregate savings for its employer clients with coordinated treatment plans
88% reduction in processing time for deliverables to its network of employer partners
Team-Based Workflows Help Close Care Gaps
AllianceChicago set a goal to meet or exceed the Healthy People target of 93% on cervical cancer screenings for its population. They needed tools to identify eligible patients and manage extensive outreach and coordination campaigns, and tapped into Cedar Gate’s Care Management and Clinical Decision Support. READ THE STORY >
Organization Type: Managed service organization with over 7 million patients
Location: Nationwide
Eliminated 18 steps from manual workflows with automation tools
Created cohorts for patients who needed cervical cancer screenings to improve outreach
Payer organizations interested in participating in partial or full capitation, or prospective bundled payments, need technology that can support the transition.
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GREENWICH, CONNECTICUT – A new analysis of commercial healthcare spending from Cedar Gate Technologies revealed the highest costs for behavioral and mental health are incurred treating teens aged 15 to 19 years old. This age group accounts for at least 31% more per-member per-month (PMPM) spending than any other. Early intervention and effective treatment could save $3,321 per person in healthcare costs within two years.
Cedar Gate CEO Dave Snow joins Becker’s Payer Issues podcast to explore the critical topic of payer and provider collaboration. They discuss the key role technology plays in facilitating information sharing and driving better population health outcomes, value-based care, and patient experiences. You’ll also learn actionable steps payer leaders can take to foster deeper partnerships with providers and achieve positive industry-wide results.
CMS tested 93 value-based payment and service delivery models, while the commercial sector led parallel initiatives to boost efficiency, quality, and satisfaction. After years of experimentation, value-based care emerged as the best approach for yielding significant clinical coordination, quality, and financial improvements. Consequently, legacy processes, organizational structures, and technologies designed for fee-for-service are failing to enable value-based care. In this session, we invite three market-leading healthcare organizations to share their journey in diverse value-based models.
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.
