Population Health Management for Payers and their Providers

Improve your clinical and financial outcomes

Identifying and stratifying your population to pinpoint opportunities for greatest impact.

To be competitive, payers and providers must bring together clinical, financial, and operational data to:

Identify At-Risk Populations

Identify high-risk populations using clinically-backed data and rules

Define the Best Care Paths

Use decision support to implement the recommended care paths decided by what will yield the best care while lowering the biggest costs

Measure and Monitor Success

Enable transparency to care improvement metrics and ongoing measurement of success

Prepare for the Move to Population Health Service Delivery

Develop proactive and sustainable care coordination models

Access to Real-Time Insights on Populations and Patients

Quickly identify high cost populations, subpopulations, and patients and identify their risk burden and best opportunities for care improvement and cost reduction.


A Robust Care Management Structure

Use clinically-backed insights to define and provide the best care paths for your organization to improve outcomes and drive down costs (one organization reduced costs by $36.2 million in one year). Establish workflows based on those insights to effectively execute on care plans.


Transparency to metrics on cost savings, care improvement, and more

A robust population health management solution provides an easy and clear view on your care improvement efforts and visibility into your gaps.


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Tackle the Opioid Crisis

Manage one of the biggest cost drivers in healthcare


Opioid addiction is our country's #1 health epidemic

It's becoming a cost driver with an estimated annual $72.5 billion in medical and prescription costs for healthcare payers and providers. Congress recently passed the 21st Century Cures Act, providing $1 billion for states to fight the epidemic. To tackle addiction, it is essential to leverage population health analytics to identify those at risk.

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