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How to embrace the move to value-based care

Advanced health analytics solutions turn gray areas into golden opportunities to contain costs, enhance performance and improve patient outcomes.

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Population health management innovations

~$42B

Roughly $42 billion prospectively risk-adjusted

Roughly $42 billion in managed care premiums prospectively risk-adjusted using 3M™ Clinical Risk Groups (CRGs) annually. 

Like math, medicine is a science. Unlike math, with medicine, problems don’t have one correct answer. Variations from case to case make it difficult to apply uniform treatment. Yet healthcare systems are challenged to efficiently serve every stakeholder, provide appropriate care to each patient and charge accordingly.

This is where our proprietary patient classification methodologies and grouper applications bring order to what might otherwise be chaos. By stratifying patients based on risk, clinical characteristics and other metrics, these groundbreaking solutions replace the gray areas with a common language that healthcare systems, payers, providers and regulatory agents can share.

They can also energize your entire enterprise, and multiply your ability to contain costs, enhance facility performance and significantly improve population health.

Which is the kind of math both medicine and healthcare can appreciate.

Drive your organization’s shift to value-based care

Whether for inpatient and outpatient populations, grouping applications enable better cost control, quality improvement, performance measurement, and data-driven decision-making.

Improve population health outcomes and measure risk adjustment

Actionable analytics and risk adjustment data simplify provider performance comparisons and make it easier to set up accurate payment models, implement timely interventions and make more informed choices.

Enhance workflows via accurate data and real-time reporting

Disparate teams can collaborate smoothly to pinpoint gaps and address them, for more accurate documentation, enhanced financial benefits, quality scores and more.

Predict and verify payment and reimbursement

Reliably forecast healthcare costs and validate accurate coding, billing and reimbursement amounts.

Help identify and track trending social determinants of health (SDoH) and health-related social needs (HRSN)

Our software detects relevant SDoH/HRSN data to help you create targeted interventions, allocate resources more efficiently, improve care quality, contain costs and promote greater health equity.

Measure facility performance with analytics and reporting

Get the granular details you need to optimize resource management, compliance, risk management, predictive analytics, quality of care and more, and identify every opportunity for improvement.

Egyptian Health: Strengthening care coordination for at-risk kids

On a mission to improve quality and reduce costs, Illinois’ Egyptian Health Department set out to screen 11,000 Medicaid and/or CHIP recipients via phone and in-person interviews — but soon found this method didn’t capture the full story. But with Clinical Risk Groups (CRGs), the organization was able to validate complexities, meet Alternate Payment Method (APM) performance measures and uncover risk profiles that would otherwise go under the radar and identify at-risk clients.

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51%

51% reduction in potentially preventable complications by utilizing 3M™ Potentially Preventable Complication (PPC) Grouping Software, in an assessment from Maryland Health Services.

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32 states 
32 states use one or more proprietary methodologies for payment, reporting, risk adjustment or quality measurement.
 

Much more than an ounce of prevention

No one can predict the future. But technology can help forecast potentially preventable medical events, offering a chance to examine data more closely — and intervene to improve patient safety. Explore our proven solutions.

Improve quality of outpatient care while controlling costs

3M™ Ambulatory Potentially Preventable Complications (AM-PPCs) Grouping Software

3M AM-PPCs identify potentially preventable complications (PPCs) that occur following elective ambulatory procedure encounters using sophisticated grouping logic. The software allows you to look closely at procedure encounters and clinically related complications by specific procedure, condition, service line, provider and facility, providing insight into incentives and interventions that can help improve patient safety. 3M AM-PPCs software is incorporated in the analysis of U.S. News & World Report’s 2023-2024 Best Hospitals Specialty rankings.

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