Advalent Network360™ allows measurement of provider performance variation from a multi-dimensional perspective (Quality, Risk Score Accuracy, Care, Costs and Utilization) thereby allowing payers and risk bearing providers – to deploy the right kind of value-based contracts with the provider community. In addition, the platform presents actionable and integrated gaps (quality, care, RAF/HCC, predicted adverse events) attributed to providers – to improve clinical and financial performance.
HOLISTIC Provider/NETWORK EVALUATION
Holistic profiling and benchmarking of physician performance and efficiencies – quality, care, cost, utilization and risk score accuracy trends – using advanced data visualization and analytics methodologies
Drive Integrated Quality, Risk Adjustment and Population Health Programs
Identify quality/care gaps, RAF/HCC gaps, and potential adverse events (ER utilization, readmissions, preference sensitive treatments etc) and drive provider engagement to improve plan-level clinical and financial performance.
Optimize Provider Networks
Significantly improve network efficiencies by leveraging top performers and supporting low-performing providers through varied provider collaboration strategies.
Understand and Design Value-Based Contracts
Proprietary analytical models enable decision makers to identify suitable value-based contracting arrangements and support providers in their journey toward value based care.
Enhanced Network and Clinical Performance
Enhanced provider governance and targeted recommendations facilitated via performance reports to act on “low-hanging” opportunities to improve health outcomes.