Health Plan Solutions
Population Health and Performance Management for Health Plans
As value-based care models gather speed, health plans are implementing new population health management strategies to target and manage the clinical and financial risk of their members, including entire populations, high-risk subpopulations and provider networks.
To meet the changing needs of payers, SpectraMedix provides a comprehensive platform of data aggregation, actionable analytics and predictive modeling solutions, supported by expert population health consultation services, to manage and reduce costs, enhance care quality, and improve HEDIS scores and STAR ratings.
Specifically, our health plan solution focus on delivering affordable, flexible tools to advance:
- Medicare plans
- Cost and utilization management
- Clinically enhanced risk adjustment
- Patient management
- Integration with care management
- Commercial accountable care
- Machine learning