Medical Cost Management
  • Leverages targeting algorithms based on specific disease state
  • Personalized interventions based on patient history
  • Care coordination between Healthmap and practice office
  • Healthmap care navigators managed telephonic encounters
  • Available via omnichannel framework
Quality Reporting/Close Care Gaps
  • Generation of quality metrics per population
  • NCQA, CMS and Payer-specific measurement stewards
  • Care gaps generated as data that impacts are received
  • Care gaps presented via pre-visit planning paradigm
  • Care gap opportunities aligned with visit schedules
  • Available via omnichannel framework

 

Risk Adjustment/Revenue Optimization
  • Based on industry standard algorithms (e.g. HCC)
  • Identify opportunities along with optimal coding guidelines
  • Data collection fed to billing resources necessary to avoid timely filing penalties
  • Available via omnichannel framework

Healthcare Providers and Healthmap – a True Supportive Partnership

Healthmap partners with healthcare providers at every patient touchpoint across the continuum of care on behalf of patients:

  • We collaborate with providers on proven best practices powered by data analytics to improve clinical quality, performance and outcomes.
  • Healthmap supplies providers with actionable information, aggregated patient treatment data and predictive modeling to more effectively anticipate and deliver the right care at the right time in the right setting.
  • Providers like the collaborative “less work for me” support, our ability to support and fully integrate into their own workflows as an extension of their practice, the optimization of risk and quality scores, and the resulting increased revenue for their practice based on outcomes and performance.