The view from the top is pretty good!
How do you do it? You’re under pressure to enhance members’ healthcare experience, quality and outcomes — and do it all at a lower cost.
You want affordable, convenient, equitable and engaging care for your Members. How do you get there? You can’t let temperamental technology or overwhelmed IT teams slow down your ability to use data to drive ahead.
With a powerful analytics platform, decades of experience, and a flexible approach, we help you get more out of your data. Look back only to look ahead. Use data to advance your strategic value to your customers and yourself.
Generate both high-level insights and detailed views to:
As a commercial health plan, you must maintain market competitiveness and optimize provider networks even as you navigate the transition to value-based care. That means figuring out how to improve members' outcomes, care quality and experience while driving down the total cost of care across varied populations. You need actionable insights.
Our experience working with commercial plans in a variety of distinct markets across the U.S. gives us an exceptional understanding of the data and insights you need to gain a competitive edge.
Discover how we helped one large Southeastern health plan determine utilization and medical costs for members participating in their health management programs.
It's tough to keep pace with all the federal rules and regulations governing Medicare and Medicaid plans. In addition, plan managers face constant cost pressures to stay within state-allocated and enrollee budget limits while caring for highly complex member populations.
We offer Medicare and Medicaid plans opportunities for data-driven cost and quality control. Our sophisticated data analytics tools can help illuminate beneficial cost savings and quality improvement initiatives for even the most vulnerable and high-risk member populations.
South Country Health Alliance, a county-based health plan, turned to HDMS to leverage its large volumes of data to engage and improve outcomes for 41,000 members - all of whom are Medicare and Medicaid participants. With HDMS, the group's providers felt more comfortable taking upside and downside risk.
With fixed premiums, managed care organizations (MCOs) and regional plans take on more risk to ensure claims numbers hit the right targets. Knowing how to control member costs and design quality improvement programs is essential.
Our sophisticated data analytics tools have helped regional plans and MCOs measure and manage risk for years. We offer you the ability to identify the highest risk populations for more focused and effective cost and quality management programs.