Value-based care performance management is a set of core analytic and operating system functions that healthcare entities must perform to succeed under new payment and care delivery models. They include:
Value-based care performance management is a necessary compliment to population health management. It addresses patient care and cost issues at the point of care delivery, to “fix-the-plant”. It provides systemic, “one-to-many” solutions that affects thousands of patients and saves millions of dollars. It enables patient health management at scale.
The July, 2016 Gartner Hype Cycle for Healthcare Providers included Value-Based Performance Management Analytics for the first time, designating it as an emerging and important capability for healthcare providers. The report states: “We expect value-based performance management analytics to quickly become a critical capability providers will need to be successful under new payments and delivery models.”
Gartner noted the financial complexity associated with value-based care: “Financial modeling and forecasting has become harder and more complex; the revenue side of the equation is now calculated with a mix of fee for service, bundled payment and shared savings models.
Additionally, reimbursement is increasingly linked to better patient outcomes, and incentives will be aligned with the requirements to evaluate quality by measuring clinical performance.”
Gartner advises providers to:
The Cedar Gate Technologies Solution
Cedar Gate Technologies (CGT) is a new, advanced analytic and cognitive computing company providing value-based performance management analytics and tools to companies taking risk with the healthcare dollar: IDNs, ACOs, Payers and self-insured employers.
CGT was recently listed in the July, 2016 Gartner Hype Cycle for Healthcare Providers report.
CGTs ISAAC™ platform is an innovative, risk-based contract and enterprise performance management platform. It incorporates a sophisticated set of financial and statistical capabilities for accurate in-year and projected financials; it applies prescriptive analytics that identify clinical, network and operational performance improvement opportunities and values them using in-effect contract prices and terms; it includes Playbook, a performance management planning, workflow and implementation tool to drive accountability around execution.
ISAAC is helping healthcare entities at risk for the healthcare dollar make the successful transition from fee-for-service to value-based reimbursement. It is a first of its kind risk-based contract and performance management platform.
To learn more or to arrange a demonstration of ISAAC™ capabilities email us at email@example.com.