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The ability to measure quality, efficiency and performance is a key component of a high-functioning healthcare system. By analyzing a solid data foundation, identifying opportunities to improve performance and designing an appropriate program to meet your goals and track progress, payers are empowered to make long-term, sustainable changes. Identifying actionable analytics helps to improve outcomes and contain costs while managing population health.
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When sharing risk, it’s critical to have a reliable and accurate way to assess the care your providers deliver so that you can fairly link payment to performance.
Predictive analytics identify patterns in your data to help you understand what will likely happen to your members in the future.
As health care moves quickly toward value-based care, payers and providers need a way to capture value and performance as it relates to cost. The 3M℠ Value Index Score clearly quantifies how well a provider takes care of their entire patient population within a primary care system.
As health care moves from volume to value-based care, payers and providers need a road map for achieving value, which is defined as the ratio of health outcomes to the cost of achieving those outcomes.
3M services and solutions can help payers go beyond the data.
As you might imagine, Medicaid directors address issues that are familiar to health plans: network adequacy, benefit coverage, pricing, quality, etc., and they do so in the context of complicated political and social issues.
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Health plans can aggregate and drill down into performance data to identify potentially preventable admissions (PPAs), ED visits (PPVs) and readmissions (PPRs).
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