Simplifying and Automating Providers’ Interactions with Payors for Better Patient Outcomes.
VedaPointe.CORE — our novel SaaS platform for attribution management, contract follow-up and patient engagement — aims to help providers succeed in their non-clinical interactions with payors and patients. Ultimately, this results in better patient outcomes, and better financial performance.
Today, Providers have limited visibility into which patients are assigned to their panel by Payors, including how these patients change over time. Providers and their staff need workflow automation tools to prioritize and engage with their attributed patients, and better information about what quality bonuses and Key Performance Indicators that apply to each patient’s contract with the Payor (or CMS).
CORE is built on three modules:
ROSTER & CONTRACTING
automatically identified at the intersection of provider rosters and payor rosters, that crosses the gap seamlessly
NEXT BEST ACTION
prioritized recommendation for next best actions that optimizes contract performance and closes care gaps
PATIENT ENGAGEMENT
workflow support to implement next best actions, including automated patient outreach for scheduling with EHR integration
VedaPointe syncs EHR patient information with Payor-provided member lists, creating a matched and operational Patient roster for attributed patients. When combined with CORE’s dashboards, automated workflows, key operational support modules, and next-best action recommendations, our solution helps Provider operate their Payor contracts more efficiently, while removing the administrative burdens for that sometimes hinder good patient outcomes.
Financially, CORE enables the successful transition to Value-Based Care and improved performance under fee-for-service and pay for performance contracts for all contracted population groups (Medicare, Medicaid, Exchange, Commercial, etc.). VedaPointe.CORE typically generates greater than a 4:1 ROI.