Our prescriptive analytics platform provides actuarially-driven performance analytics and advisors to predict “in-year” financial performance to improve the cost, quality and utilization of any risk-based contract. It’s one thing to draw insights from your data, but true power comes when you use those insights to deliver tangible results.Get Started
Detailed analyses of healthcare performance and financial data, including actuarial-driven benchmarks, are complemented by experience-driven insights from our industry experts. With a comprehensive and holistic view of all financial, clinical, and operational opportunities, you can eliminate department-centric perspectives and work towards a common goal.
Cedar Gate is uniquely suited to serve as a shared point of contact and communication among healthcare organizations with 30+ years in bundled payment arrangements. Our platform identifies and develops bundle opportunities to reduce spend and improve quality of care.
Identify revenue and out-of-network referral recapture for all aspects of the health care value chain (specialty physician and facility out-of-network utilization). Identify sources of out-of-network activity and services rendered at out-of-network provider organizations. Manage revenue capture and enhanced care coordination by identifying primary care physician’s out-of-network referrals.
Empower yourself with timely information to take action and accomplish your performance goals. Our platform combines deep, detailed analyses of healthcare performance and financial data backed by a team of highly accomplished physicians, data scientists, healthcare executives, financial analysts, and actuaries. This industry-leading platform delivers your data in the form of an action plan that enables you to focus on what needs attention most.
Overtreatment is one of the root causes for the affordable care crisis, accounting for $760 billion in annual costs. To address the issue, Cedar Gate has partnered with the Global Appropriateness Measures Group (GAM), a collaboration of healthcare experts committed to the goal of measuring high-value care and reducing waste.
Effectively create predefined and custom workflows or “plays” to drive improvements in financial, operational, and clinical performance. Use your pricing, claims, and utilization data to reveal the projected value and potential timetable of a play before you begin. Once you execute a play, then monitor, track, and display performance data, while receiving updated action items to improve performance throughout the year—not just at year-end.
Forecast and manage Medical Loss Ratios by line of business, network, region and more. Then through clinical and financial advisors, configure and model improvement options. This allows you to gain visibility into predictable, continuous operational changes for your healthcare delivery system, positively affecting thousands of lives and saving millions of dollars.
We know your business has unique needs and requirements. For that reason, we offer a number of customizable solutions that are available within our platform.
Governed by standard, custom development processes, we work with you to define scope, requirements, project cost, and timeline to deliver solutions specific to your value-based care performance needs.
Enable rapid innovation through complementary custom reporting solutions that help expedite your success in the same performance year.
Develop one-off, customized analytics and reports to address challenges and opportunities that are unique to your organization.
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.
Capture, organize, and utilize all valuable data sets securely and easily.EXPLORE
Transform the way you report on your business with these intelligent tool sets.EXPLORE
Support medical management activities across the care continuum.EXPLORE
Manage patients effectively from chronic conditions to transitions of care.EXPLORE
Administer retrospective and prospective bundled payment arrangements with clinical excellence.EXPLORE
Operate multiple lines of business with claims and benefits administration, eligibility, capitation reconciliation, financial management and more.EXPLORE
Extend your effectiveness with managed, professional, or advisory services.EXPLORE