MedVentive

Pay for PerformanceP4P programs continue to proliferate, and become more sophisticated. A recent Gartner Group survey noted P4P programs in more that 30 states, and 14 states with specific, mandatory quality reporting requirements. P4P has taken hold in conceptual form, but execution challenges remain. How can physicians maximize performance and financial yield without sacrificing productivity? How can payers deliver an integrated, end-to-end operational solution that supports pre-program modeling and design, physician profiling and information-sharing, and adjudication and payment? The answer is MedVentive...

Care, Disease and Pharmacy RegistriesInformation flows are more fragmented than ever, despite the promise of EMR. Central disease and pharmacy registries that provide access to condition-specific information about patients are vital to maintaining high quality of care levels, implementing and managing efficient disease management programs, and performing outcomes studies. Registries are comprehensive, longitudinal patient records that use information from diverse data sources to provide a robust information profile that can jumpstart and complement an EMR initiative. How can your organization harness the power of care registries? The answer is MedVentive...

Evidence-Based Medicine ComplianceMost physicians believe they practice evidence-based medicine, yet it actually occurs only about half the time. This "evidence gap" is driven by several factors. Most notably, the expansion of scientific investigation has dramatically increased the difficulty of staying abreast of clinical findings. In addition, the lack of sophisticated tools and technologies to track and implement new clinical findings slows the pace of adoption. Consistent adherence to evidence-based guidelines results in improved quality of care and lower costs. Performance against evidence-based metrics has thus become a key factor in the determination of payment rates, network inclusion and patient satisfaction. How can your organization reduce the "evidence gap?" The answer is MedVentive...

Quality InterventionsOn April 27, 2004, the Department of Health & Human Services established the position of National Health Information Technology Coordinator to provide leadership for the development and implementation of health information technology. Their goal was to improve the quality and efficiency of health care in the United States. Demand for quality from patients, employers and the government is at the centerpiece of myriad initiatives designed to ensure that appropriate information to guide medical decisions is available at the point of care. How can you deliver patient-specific intervention recommendations to the point of care? The answer is MedVentive...

Managing Pharmacy CostsOutpatient drug expenditures have grown at an annual rate of 15 - 20% since the mid-1990s, more than double the rate of growth in overall health spending. Based on current rates of inflation, forecasters project that drug costs will represent 25% of health care spending in working-age adults by 2012. These numbers are daunting. But there are proven strategies for managing pharmacy inflation: improving formulary compliance; increasing the rate of generic prescribing; and leveraging drug substitution and dose optimization techniques. How can your organization take concrete steps to confront the reality of rising drug costs? The answer is MedVentive...

Patient Safety and Preventive ScreeningDelayed diagnoses account for approximately one-quarter of all malpractice cases, and more than 7,000 Americans die from medication-related events every year. Managing the preventive screening cycle for a large patient population, and administering and monitoring complex medication regimens are critical risk management and quality improvement challenges for physicians. How can payers deliver value-added tools that ensure patient safety and screening compliance? How can physicians integrate quality and safety interventions into their care delivery workflows? The answer is MedVentive...

Managing Tiered NetworksNational insurers have launched new products that offer tiered networks to encourage their members to seek care from selected providers. Local plans are developing centers of excellence encouraging patients to seek care from groups of physicians that have demonstrated better outcomes and quality of care. These more tailored network products are part of a new wave of targeted strategies to manage medical costs. How will payers identify providers, assess their quality performance and practice patterns to develop the network tiers? How will providers secure optimal positioning and reimbursement levels? The answer is MedVentive...

Risk-Adjusted Performance MeasurementPerformance measurement can only succeed if comparisons among physicians, hospitals and networks are made on a risk and severity-adjusted basis. Physician acceptance and the accompanying behavior change will only occur if measures of efficiency are calculated using a robust, comprehensive data source, and adjustments for age, sex, and disease burden are transparent and accurate. How can your organization access data that incorporates proven risk adjustment methodologies, backed by years of empirical evidence? The answer is MedVentive...

Electronic Medical Records: Driving Adoption and Adding ValueIn 2003, the Institute of Medicine, in its groundbreaking report on the impact of medical errors, advocated the widespread adoption of electronic medical records. The goal was to facilitate the secure exchange of health care information. Still, the overall adoption rate of EMRs remains below 30%, and significant barriers remain to the creation of a nationwide health information infrastructure that is cost-effective, reliable and inter-operable. How can your organization jumpstart secure information sharing among physicians, and leverage its existing data infrastructure to progress towards EMR adoption? How can your organization secure a more comprehensive and robust data view than even an EMR can provide? The answer is MedVentive...

Managing HEDISHEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care organizations. Successful and efficient completion of the NCQA HEDIS accreditation process is vital for health plans and physician organizations. How can your organization aggregate the claims information necessary to comply with HEDIS reporting standards? How can you manage the accreditation process with minimal impact on ongoing operations, and improve your HEDIS scores? The answer is MedVentive...