Omaha, NE and East Windsor, NJ — April 16, 2020 — Blue Cross and Blue Shield of Nebraska (BCBSNE) has selected SpectraMedix as its data analytics vendor to support collaboration with health care providers across the state.
BCBSNE’s Total Care program is a value-based model that reimburses providers based on the quality of care they coordinate instead of the number of services they perform. BCBSNE collaborates with Accountable Care Organizations (ACOs) and Patient-Centered Medical Home (PCMH) providers to deliver Total Care, and they rely on actionable data analytics to continually monitor quality and improve patient outcomes while lowering costs.
SpectraMedix works with health care organizations and offers cloud-based analytics applications to support value-based programs (VBP) like BCBSNE’s Total Care. BCBSNE will use SpectraMedix’s VBP Contract Modeler and VBP Performance Portal applications to effectively assess its member population, model contract parameters and generate reports. This will enable BCBSNE to provide ACOs with clinical, utilization and financial insights to manage care and costs.
SpectraMedix will also provide BCBSNE with comprehensive data mapping, validation and warehousing.
About Blue Cross and Blue Shield of Nebraska Inc.
Blue Cross and Blue Shield of Nebraska Inc. has been leading the way in supporting patient-focused care since 1939. It is the state’s largest health insurance company, and the only one headquartered in Nebraska. BCBSNE is an independent licensee of the Blue Cross and Blue Shield Association. Learn more at NebraskaBlue.com.
SpectraMedix helps payers and providers make the most of their journey to value-based payment. Our flagship product, the VBP Performance Suite, supports health plans and their provider networks with an integrated suite of applications that streamline the process of VBP contracting, performance improvement, and provider enablement. It is powered by The SpectraMedix Platform™, a scalable, HIPAA compliant, NCQA certified cloud-based framework that is the cornerstone of all SpectraMedix applications. The Platform’s data integration capabilities include real-time EHR interfaces, including FHIR, and APIs can be leveraged to import data directly from EHR systems on-demand and in real-time. Take a look at our Company Overview to learn more.