Health IT vendors are constantly innovating to provide tools that leverage advanced analytics, automation, and artificial intelligence to help healthcare providers and payers identify potential gaps in care settings. By embedding real-time insights into existing workflows, these tools aim to enhance coding accuracy, improve patient outcomes, and streamline operations.
Boosting coding accuracy across care
Innovaccer recently introduced a new platform integration called 360-Degree Gap Closure, designed to help health plans streamline risk adjustment and close gaps in care. By combining prospective, concurrent, and retrospective reviews, payers can efficiently address gaps across care provider offices, pharmacies, and patient interventions. The platform emphasizes seamless data exchange with provider EHRs to facilitate risk adjustment and quality improvement in alignment with value-based care initiatives.
"We are bringing a much-needed shift in how payers approach risk and quality," stated Abhinav Shashank, CEO of Innovaccer. "Health plans can now efficiently close gaps across the entire care journey and enhance member outcomes with automation and advanced analytics."
Sending gaps-in-care alerts to providers
Veradigm announced a new gap closure workflow integration for its payer insights platform, enabling over 3,500 healthcare practices to receive gaps-in-care alerts directly in their EHRs. These alerts empower providers to address risk and quality care gaps at the point of care, enhancing clinical decision-making and patient outcomes. By streamlining access to payer incentive programs, providers can earn incentive payments for each patient gap addressed, leading to improved claims acceptance rates and additional revenue streams.
"The interconnected healthcare ecosystem fosters efficiency and improves patient outcomes," said Jay Bhattacharyya, Senior Vice President of Veradigm. "Providers can seamlessly close care gaps and unlock financial incentives, resulting in enhanced care quality and operational efficiency."
Creating a patient insights overlay for EHRs
MedeAnalytics and Holon Solutions have partnered to develop an integrated patient insights platform that enhances care quality and reduces administrative burdens. By leveraging artificial intelligence sensor technology, the platform offers an overlay on top of EHRs, providing additional patient data without disrupting clinicians’ workflows. This integration delivers claims and social determinants of health data for timely interventions and improved efficiency for care teams.
"Our partnership with Holon represents a pivotal moment in healthcare data management and analytics," said Steve Grieco, CEO of MedeAnalytics. "By breaking down data silos and optimizing value, we aim to improve patient outcomes and care quality while increasing revenue for payers and providers."
In conclusion, the continuous evolution of health IT tools is revolutionizing the healthcare industry by enhancing care quality, improving operational efficiency, and driving better patient outcomes. By embracing advanced analytics, automation, and artificial intelligence, providers and payers can address gaps in care settings and optimize value-based care delivery.
