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A Complete, Composable, Collaborative Solution So Everyone Wins 

BLOG | October 14, 2022

The Value Revolution is Here.

Read Our ManifestoIt should come as no surprise when we say the U.S. healthcare system is in a state of crisis. In fact, it has been for some time. The pandemic proved that prioritizing volume over value is unsustainable. Together, we have the power to create change. We all know a fee-for-service system is unsustainable, and the time to talk about the problem has come and gone. Our only option now is to march forward toward a more sustainable and effective healthcare system. Those who don’t will fall behind. 

This is our manifesto for change. 

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CEDAR GATE IS RISING TO THE CHALLENGE AS THE VALUE-BASED CARE AND PAYMENT ENABLER

Cedar Gate Technologies was founded in 2014 with the goal of building a technology solution to empower payers, providers, and employers to excel in value-based care. At that time, most healthcare players were struggling to see how VBC was feasible in a world focused on fee-for-service (FFS).

Founder, Chairman, and CEO David B. Snow, Jr. had the vision of a comprehensive end-to-end solution that would meet every technical aspect of VBC: data management, analytics, care management, and payment. He acquired and integrated best-in-class technologies developed by five leading healthcare IT companies to create the industry’s most complete platform. Today, VBC-focused organizations can compose the platform to succeed in any payment model in every line of business. 

Cedar Gate Technologies is led by an expert team of successful healthcare operators with a track record of innovation and positive change in the industry. We operate with a single mission: to provide the technology platform that enables payers, providers, and employers to succeed in a value-based care landscape and thrive in the value revolution. To accomplish this, our solution:

  • Aggregates and analyzes enormous amounts of healthcare data from disparate sources
  • Identifies actionable opportunities in clinical, financial, and operational initiatives
  • Measures results and provides seamless reporting tools
  • Helps identify ways to manage risks, both on an individual patient and population level
  • Narrows health disparities by using data to identify health equity needs and opportunities
  • Administers payment models, including advanced APM

 

Complete-1COMPLETE: END-TO-END SOLUTION FOR ANY STAGE OF VALUE-BASED CARE

One of the key challenges for organizations interested in making the shift to value-based care is a lack of integrated, end-to-end solutions to facilitate the necessary changes. There are hundreds of point solutions on the market today, but most deliver only limited functionality and insights. Healthcare participants must maintain multiple vendor relationships, which is cumbersome and inefficient. 

Additionally, each proprietary solution is built with its own unique data source. Organizations must either build their own APIs to connect disparate data, or manually transfer data from one program to another. This adds staff costs and time and increases privacy concerns with heightened risk of a data breach.

Cedar Gate’s mission is providing an end-to-end technology platform that addresses the full continuum of VBC arrangements and delivering a solution for payers, providers, self-funded employers, and advisor partners. Our platform is easy to use and intuitive, taking advantage of modern developments in cloud computing that allow organizations to dynamically scale technical resources for even the most complex data storage, handling, and processing requirements. 

At the heart of the platform is the enterprise data management (EDM) feature. It’s a unified “data lake” that pulls in data from hundreds of disparate sources and normalizes it so it’s usable in any application throughout the entire solution. Users get a 360-degree view of clients, members, and patients for holistic, informed, and prescriptive recommendations to: 

  • Model population health 
  • Predict individual patient risks and needs 
  • Provide appropriate care 
  • Get paid for value-based services 
  • Achieve safe, secure data storage and management with HITRUST Certification
  • Support interoperability standards, including FHIR

ComposableCOMPOSABLE: YOUR EVOLUTION, YOUR JOURNEY

The transition to risk-based models is not a one-size-fits-all journey, and it’s not something you can turn on full speed whenever you want. Some healthcare players are well into this journey and ready to dive into more complex arrangements like two-sided risk, prospective bundled payments, or capitation. Others are at the beginning of the process, still learning how to effectively use analytics tools to identify, address, and report on quality metrics in the MSSP BASIC track.

No matter where you fall on that continuum, Cedar Gate’s platform is designed to help you succeed in value-based care. Adopting enabling technology is an incremental process with a learning curve that is unique to your organization, the needs of your population, and the requirements of your care and payment contracts. 

With Cedar Gate you can start with an application that solves a specific challenge, then build over time as your organization becomes more adept in value-based care, and ready to take on more risk. Every module is seamlessly integrated within the platform, giving you the resources to execute even the most complicated VBC contracts and payment arrangements with ease.

 

CollaborativeCOLLABORATIVE: WORKING TOGETHER TO PURSUE VALUE-BASED CARE

Value-based care aligns the interests of every healthcare participant, including payers, providers, employers, and patients. We all want: 

  • Better health outcomes for people who seek medical care
  • High-performing providers who understand and use evidence-based treatments and therapies to achieve optimal patient outcomes
  • The tools to identify individuals at higher risk and intervene earlier with appropriate care to slow disease progression or avoid chronic illness whenever possible
  • To create effective care plans tailored to the unique needs of individual patients
  • To reduce healthcare spending while improving care quality
  • To efficiently process claims and get reimbursed fairly for services rendered
  • To spend the right healthcare dollars, in the right places, at the right times for better care

The Cedar Gate platform offers transparency in data and workflows that stakeholders need to work together toward these common objectives. When everyone has the necessary tools to align care plans with financial priorities of lowering healthcare costs, we all realize the ultimate goals of value-based care.

 

In The Value Revolution, Everyone Wins

Everyone has a role to play in the value revolution. This transformation will not happen without the concerted effort of all healthcare participants working in partnership toward common standards and goals.

We know the trajectory we are on in healthcare is unsustainable. It’s not easy to move out of our fee-for-service comfort zone, but it is essential. Our path forward is clear, and it will lead to a future that offers every participant the opportunity to create a better and more sustainable healthcare future.

 

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Making these changes is not optional, so it’s time to either march forward on this journey or fall behind. Let’s turn the page on healthcare history together.

 

 

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