providers

Providers

The industry’s evolution from fee-for-service to value-based care represents a challenge to traditional healthcare business models. Today’s healthcare providers need to adapt to new ways of thinking and operating. We help health care delivery organizations identify, understand, and act on emerging opportunities to transform their operations and improve their clinical and financial performance.

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Providers Practicing Value-Based Care

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Performance Analytics

Automatically generate condition-based patient registries using clinical and claims data to identify risk, screening opportunities, and treatment gaps for preventive care, immunizations, behavioral health, and chronic conditions. Robust claims analytic capabilities can evaluate data by facility, provider, payer, procedure, and disease state to identify actionable opportunities that reduce costs and improve performance in value-based contracts. Provider-focused analytics allows clinical performance to be evaluated and compared between peers, clinics, business units, and within and across payer contracts.

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Care Management

Enable care teams to monitor and coordinate care for patients with common risk factors and chronic conditions, or to monitor them through transitions of care. Task-based health improvement programs, based on clinical guidelines codified into the platform, help reduce variation and aligns care delivery with the clinical and financial objectives of the organization.

Care Delivery

Ensure that all members of the care team have a current, 360-degree view of a patient’s health, including gaps in care, utilization, and other treatment opportunities. Engage the patient as a member of the care team through a mobile web interface that accepts patient-generated data. Priority gaps in care are surfaced through an award-winning visual dashboard, embedded within the providers workflow, embedded within the EHR and available when the patient is in the exam room.

END-TO-END SOLUTIONS

Accountable Care Organizations (ACOs)

It’s essential to the success of ACOs to capture, document, and analyze critical information among providers. Ensuring the highest level of patient care demands access to data needed by network participants collaborating to deliver true value-based care. As your ACO moves to full risk, our platform will enable you visualize, describe, and predict high-cost medical events, and to intervene with prescriptive solutions through the industry’s most advanced analytics solution. It’s everything you need to effectively manage your patient population.

Physician groups and IPAs play a central role in the healthcare delivery system. As healthcare payers consolidate and increase their leverage, it’s essential for provider organizations to understand how to manage financial risk, including capitation, shared risk, and pay-for-performance arrangements. Our solutions can help you navigate the complexities of taking on and managing risk, providing the information and support you need to do what you do best: care for patients.

We help hospitals and health systems simplify and streamline business processes for value-based care delivery. Our solutions centralize care coordination and management activities to improve efficiency, and can draw focus to priority initiatives across the system, such as the reduction of hospital admissions and re-admissions.

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

White Paper
White Paper

Uncharted Waters: How COVID-19 Impacts Risk-Based Contracts and How Providers Can Mitigate Risks

Inform healthcare providers about how medical claims associated with COVID-19…

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Case Study

Using Data to Reduce Skilled Nursing Facility Readmissions Creates Better Patient Outcomes

For health systems across the country, readmissions have become a crucial metric…

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Client Press Releases

Lee Health Boosts its BPCI Advanced Program with Cedar Gate Technologies’ High-Performance Analytics

Lee Health Boosts its BPCI Advanced Program with Cedar Gate Technologies’ High-Performance Analytics

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Case Study

A Health System’s Journey to Value Leads to a $44M Performance Improvement

One of the largest Catholic healthcare systems in the Midwest, embarked on a value-based care journey through its ACO.

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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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