employers

Employers/ASOs

For self-insured employer groups of any size, managing employee health is both responsibility and challenge. You need to provide reliable access to quality healthcare—and offer competitive benefits—but you also have to manage costs. Few human resource and benefits teams have the necessary expertise and time to analyze plan performance and recognize opportunities for high-value innovation. As your partner, we can provide that expertise and the tools to deliver better healthcare with more predictable cost and managed risk.

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Uncovering Employer Value-Based Care Benefits

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Care Management

Extend a care management platform designed specifically for clinicians and healthcare professionals that assist plan members and their families. Oversee care management activities that focus on wellness, prevention, disease management, case management, and utilization management, all from a single integrated platform.  In addition, a provider portal offers an integrated pathway to request service and pharmacy authorizations, and to review historical member information. Engage members through a dedicated health portal that supports personalized care gap notifications, health goals, health risk assessments, and incentive management.

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Performance Analytics

Provide the analytic tools to your in-house team so they can surface clinical and financial insights from healthcare data. Create queries and reports to meet your specific needs. Or, access industry standard reports designed for plan administrators that focus on utilization and cost for areas including location of service, diagnoses, procedures, providers, and drugs.

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Business Intelligence

Provide executive-level dashboards that monitor and analyze health plan performance with a focus on utilization and cost. Create and automatically distribute custom charts, tables, widgets and dashboards to the leadership team.

End-to-End Solutions

Self-Insured Employers

Our platform enables employers manage employee benefits and their health care. It accepts member-generated health data, supports management and health incentive programs and HRA’s, and provides personalized health and action plans to keep employees focused on their goals. Plan administrators can access health risk profiling, bench-marking, comparisons, and a robust set of benefit analytics for assessing health and productivity of the employee population.

 

Brokers and consultants can access analytic tools to optimize health and related costs for their clients. Population and outcome management, combined with predictive modeling and prescriptive analytics, provides users unmatched risk prediction and actionable insights into the plans they design and offer to their customers. In addition, reports can be created for any client and can be accessed through a custom portal.

Our solutions help TPAs design, manage, review, and analyze claims data on behalf of their clients. Fast and cost-effective, claims can be easily stored and rapidly analyzed.  Drill into the data, create ad-hoc trending and comparison reports, and conduct prescriptive analytics for actionable insights.

Serving

payers

Payers

Manage risk more effectively and obtain greater value for every healthcare dollar.

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providers

Providers

Act on emerging opportunities to transform operations and improve financial performance.

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employers

Employers / ASOs

Recognize high-value innovation opportunities in healthcare with our help.

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Discover More

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Client Press Releases

Cedar Gate Technologies Marks 35 Years of Operating Longest-Running, Cardiovascular Prospective Bundled Payment Program

Cedar Gate Technologies Marks 35 Years of Operating Longest-Running, Cardiovascular Prospective Bundled Payment Program

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Case Study

Neurological Center of Excellence Delivers Better Outcomes for Patients

As healthcare costs for employers rise, businesses are grappling with how to navigate benefits plans…

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Case Study

A Large Employer’s Center of Excellence Program Delivers 20 Years of Successful Outcomes

As one of the largest employers in Texas, this company pledged to change the experience for employees…

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White Paper
White Paper

Successful Bundle Payment Programs Unite Payers and Provider

The traditional fee-for-service reimbursement model has caused a deep-seated mentality…

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SOLUTIONS

Cedar Gate’s enterprise performance management analytics and administration platforms reduce risk, enhance financial performance, and improve patient outcomes for healthcare organizations across the value-based care continuum.

Enterprise Data Management

Capture, organize, and utilize all valuable data sets securely and easily.

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Empower your team with timely information to take action and reach performance goals.

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Transform the way you report on your business with these intelligent tool sets.

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Support medical management activities across the care continuum.

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Manage patients effectively from chronic conditions to transitions of care.

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Administer retrospective and prospective bundled payment arrangements with clinical excellence.

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Operate multiple lines of business with claims and benefits administration, eligibility, capitation reconciliation, financial management and more.

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Extend your effectiveness with managed, professional, or advisory services.

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