The Challenge

Collaboration between payers and providers through clinically integrated networks (CINs), accountable care organizations (ACOs) and physician-hospital organizations (PHOs) is essential for delivering value-based care. Yet many of these organizations lack the technology to meet pay-for-performance objectives. Population health data is often limited, and many providers struggle to equip physicians with information they need to help patients achieve desired outcomes. Without timely, useful performance data, payers have difficulty receiving reimbursements and delivering payouts to providers.

emids Capabilities

Our expertise in migrating, integrating and analyzing clinical data can help you collect the information and analytics you need to achieve objectives of pay-for-performance programs. Along with capturing and converting data into useable formats, we can help you develop a standard set of metrics or reports that can easily be configured for any payer or provider, regardless of their hardware and software technology stack. These plug-and-play reports highlight key performance indicators outlined in payer contracts and which providers are in compliance, along with issues preventing reimbursements, such as problems with data that may be driving up Medicaid denial rates.

emids Experience

  • We helped a mid-sized health plan modernize an outdated data and reporting platform, improving data analysis and reducing operational costs by 50 percent.
  • emids helped a leading healthcare exchange provider  integrate data between multiple sources, including two state exchanges and a leading health plan, impacting over 1.7 million lives.
  • emids analyzed six (6) best in KLAS Health Information Exchange vendors assisting our client with selecting the best vendor solution to the client’s requirements. This new solution would reduce our client’s annual operational costs by more than 60%.

Learn how we can help you solve your biggest healthcare IT challenges.
Contact us at info@emids.com or (615) 332-7701.