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CASE STUDY

A Large National Payer Looking to Reduce Costs and Improve Provider Performance in Value-Based Arrangements

A large commercial payer with multiple clinically integrated networks engaged Cedar Gate to identify targeted opportunities within specific provider groups and VBC arrangements that display the most savings and quality improvement potential.

Using the Value-Based Care Analytics application, Cedar Gate identified, valued and recommended performance improvement opportunities around four specific areas: Chronic Condition Management, Potentially Preventable Emergency Room Visits and Admissions, and Preferred Provider Referrals.

Through Cedar Gate’s Value-Based Care Analytics, the payer was able to drive execution accountability and track the performance improvement of each opportunity

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