In 2017, a medical university partnered with Cedar Gate Technologies to integrate value-based care solutions to facilitate better outcomes for their 100+ locations and a network of more than 1,000 healthcare providers. The organization was participating in the Medicare Shared Savings Program (MSSP) Enhanced Track and wanted to focus on chronic kidney disease (CKD) management.
The medical university faced three main challenges in CKD management:
The Cedar Gate Solution
Based on its existing relationship with Cedar Gate, the university adopted a threefold strategy to deal with these central issues:
Value-Based Care Analytics generates insights to maximize performance in value-based care agreements. It’s a key component for orchestrating VBC contract lifecycles and maximizing cost savings and quality.
VBCA enabled the university to track patients by CKD stage based on factors such as their ER spend, locations, PCPs, preventable, and unpreventable conditions. It helped the organization identify the people currently utilizing hemodialysis and demonstrate the potential value of shifting appropriate patients to peritoneal dialysis. It also pinpointed patients with complicating comorbidities that were resulting in hospitalization so care providers could take steps to reduce hospitalization whenever possible with this high-risk group.
The university aligned VBCA with each of the main challenges, beginning with employing Emergency Room (ER) Utilization Management. This helped the university’s service locations reduce unnecessary ER visits for patients with chronic kidney disease. Through an analysis of hemodialysis and peritoneal dialysis utilization, providers were able to align existing patients to cost-effective treatment and improve satisfaction.
Lastly, there was ongoing improvement in managing complicating comorbidities and reducing avoidable and undesirable hospital admissions for patients.
Since investing further in Cedar Gate’s VBCA solution, from 2020 to 2021, the university has seen improved outcomes for CKD patients, including a 3% improvement in the number of patients with comorbidities who avoided hospitalization. Those patients who avoided hospitalization had an average savings of $36,100.
In the fall of 2021, the organization committed a Care Coordinator to strategic CKD management initiatives to:
Our self-service Value-Based Care Analytics application generates the insights needed to maximize performance in value-based care agreements. Actuarial modeling capabilities enable the orchestration of the entire contract lifecycle, from design, negotiation, and activation, through settlement, measurement, and optimization.
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.