Payer & Employer Solutions: Integrated Analytic and Workflow Tools that Improve Quality and Outcomes
Managed Care Performance Download PDF
MedVentive is a recognized leader in the development of managed care performance management solutions. MedVentive's comprehensive analytics guides the development of tiered-networks and P4P programs, and delivers the next generation of network management tools to leading payers and employers
Whether your market has advanced risk sharing arrangements, or simply wants to improve its publicly reported quality metrics, MedVentive delivers results.
Key features:
- State-of-the-art OLAP technology delivers unlimited reporting flexibility to sort and group data by type of service, procedure, region or any other category you specify
- Track performance of your network and individual physicians against financial, utilization and quality improvement goals
- Graphical risk-adjusted PCP Profiles and case mix adjusted specialty profiles measure efficiency indices for individual physicians.
- Our optimized ETL solution provides incremental data updates that deliver the fastest data refreshes of any vendor
- Adjudication functionality that allows you to model P4P program options, set criteria, and manage payments
- MedVentive Pharmacy Intervention Manager creates a complete drug registry for each patient, and automatically generates requests to physicians to change patients to more cost effective or generic drugs.
- Concrete, member-specific recommendations that identify gaps in care, alert your members about necessary treatments or opportunities for improvement in their care, and manage the workflow to execute the recommended actions.
MedVentive provides the tools to manage your network for optimal performance.
