Population health analytics and grouping
Population health management innovations
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.
51%
51% reduction in potentially preventable complications by utilizing 3M™ Potentially Preventable Complication (PPC) Grouping Software, in an assessment from Maryland Health Services.
32 states
32 states use one or more proprietary methodologies for payment, reporting, risk adjustment or quality measurement.
Featured tools for providers and payers
Make the most of your resources with smart grouping applications for more efficient risk stratification, targeted interventions and coordinated care.