In a value-based care future where healthcare stakeholders are taking on more risk, payers must bridge the information gap between network providers and plans. Our composable platform provides the tools to engage providers as partners to improve member care, reduce total cost of care, and achieve quality metrics that lead to better outcomes for patients and members. We’ve compiled resources from our experts and industry insights to help you succeed in your VBC journey.
Analysis revealed that 31% of the workforce and their families suffer from a cardiac disorder or hypertension, a significant risk factor for such disorders.
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Achieves $2 Million in Savings
Kairos Health Arizona faced a triple threat of issues that undercut its ability to confidently manage data processing, and establish actionable steps for higher quality value-based care. They needed a strategic partner to improve their data capabilities, and Cedar Gate was the perfect solution. READ THE STORY >
Organization Type: Public sector entity that runs an employer broker risk program
Location: Arizona
$2 million in aggregate savings for its employer clients with coordinated treatment plans
88% reduction in processing time for deliverables to its network of employer partners
Team-Based Workflows Help Close Care Gaps
AllianceChicago set a goal to meet or exceed the Healthy People target of 93% on cervical cancer screenings for its population. They needed tools to identify eligible patients and manage extensive outreach and coordination campaigns, and tapped into Cedar Gate’s Care Management and Clinical Decision Support. READ THE STORY >
Organization Type: Managed service organization with over 7 million patients
Location: Nationwide
Eliminated 18 steps from manual workflows with automation tools
Created cohorts for patients who needed cervical cancer screenings to improve outreach
Payer organizations interested in participating in partial or full capitation, or prospective bundled payments, need technology that can support the transition.
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Cedar Gate released a critical analysis of heart health trends across the U.S., revealing that 31% of the workforce and their families suffer from a cardiac disorder or hypertension, a significant risk factor for such disorders. This data, derived from Cedar Gate’s National Healthcare Benchmark Database, analyzed claims data from July 2022 through June 2023 and represents approximately 15 million commercially insured individuals.
Preparing for TEAM: A Deep Dive into CMS’s New Bundled Payment Model
Cedar Gate’s Tobin Lassen joins the Becker’s Healthcare Podcast to discuss the history of bundled payments and the new TEAM mandate for bundles from CMS.
CMS tested 93 value-based payment and service delivery models, while the commercial sector led parallel initiatives to boost efficiency, quality, and satisfaction. After years of experimentation, value-based care emerged as the best approach for yielding significant clinical coordination, quality, and financial improvements. Consequently, legacy processes, organizational structures, and technologies designed for fee-for-service are failing to enable value-based care. In this session, we invite three market-leading healthcare organizations to share their journey in diverse value-based models.
The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you.
