Bridge the information gap between network providers and plans with analytics, care, and payment applications that engage providers as partners to improve member health and reduce total cost of care.
Blue Cross Blue Shield (BCBS) companies and licensees can benefit from the experiences and learnings of peer BCBS organizations across the nation. The collective insight of innovative companies practicing all levels of value-based care is a powerful decision-making tool when it comes to determining how well a technology works.
Cedar Gate is a trusted value-based care solution provider for numerous BCBS companies. We’ve seen a wide range of use cases for our data, analytics, care, and payment technologies. These proven and active deployments serve as real world examples of ways you can implement our complete, composable solutions at your BCBS organization.
Large payer organizations with complex operations, multi-state footprints, and extensive provider partnerships need a composable technology stack that addresses their unique challenges. With an established source of truth for data, and integrated technology and workflows, payers can identify and pursue opportunities faster, and with more confidence.
Cedar Gate can onboard, normalize, and enrich almost any data type from hundreds of sources for use across our platform or with third-party applications. Advanced analytics capabilities forecast performance, surface insights, and prescribe actions to support VBC and payment models. Integrated care and utilization management and decision support capabilities align clinical and administrative workflows with contract objectives. Build an entire end-to-end VBC solution to minimize time, costs, and security risk.
Workforce shortages and rising costs across the healthcare spectrum require payers to be more efficient with resources to achieve cost, quality, and member satisfaction goals. Automating time-consuming processes, and empowering staff with integrated tools to find and resolve problems quickly, will position regional payers for success.
Our implementation process streamlines data onboarding and management, so organizations can focus on operational efficiency and member satisfaction. From prescriptive insights to automated claims processing and authorizations, our analytics, care, and payment technologies reduce the time to interpret information and act. Integrated communication tools in robust care management and decision applications boost productivity, with coordinated actions around a shared person-centric care plan.
The proliferation of value-based care provides new business opportunities for healthcare providers and payers. Organizations that align payer-provider interests and forge strong relationships can benefit from enhanced alignment in contract design, care management, and care delivery. The end result is higher member satisfaction and the ability to achieve clinical and financial objectives.
We invest heavily in the people and the technology to integrate analytics with care management, utilization management, clinical decision support, and payment technology. The result is a complete value-based care platform that integrates data and analytics with clinical and administrative operations. Share data seamlessly and securely among cross-functional teams to ensure optimal patient and member outcomes.
Collaboration between payers and providers is key to providing exceptional care at the lowest cost. But it’s not always easy to do with fragmented information from many sources. Our payer solutions draw from a single, unified data lake. Claims, clinical, and SDoH data are combined, normalized, enhanced, and available to every member of your team for more informed decision making. Our composable platform and applications are adaptable to fit your analytics, care management, and payment solutions.
Our leadership team has decades of experience in and understands the nuances of the healthcare payer industry. We know how to challenge (without completely upending) the status quo, so we can all move toward a necessary value-based care future. Our high-performance healthcare technology platform is the product of a forward-looking vision where healthcare payers like you can compose the architecture you need to achieve better outcomes for everyone.
We offer more than just a comprehensive suite of solutions to succeed in value-based care. From the minute you start your journey with Cedar Gate, you have access to a full spectrum of top-notch advisory and client services. It begins with a streamlined implementation and data onboarding process, and continues with a dedicated Client Success Manager to help identify your unique needs and work toward your clinical and financial performance goals.
Achieving lower costs, better quality, and a better member experience is challenging. With a comprehensive software suite that offers end-to-end capabilities for self-funded employers, it’s a little easier. Our platform allows you to manage data, analyze data, act on analytics insights, and handle complex APMs, with a single point of contact to address your needs. It simplifies the burden of juggling multiple solutions, limits security risks, and reduces administrative costs.
Our Solution: Cedar Gate offers self-service provider engagement tools that can be customized to meet the unique needs of your market.
Our Solution: Cedar Gate offers a fully composable suite of Analytics, Care, and Payment solutions, giving you the flexibility to integrate any solution into an existing technology ecosystem. As your organization adapts and grows, you can build out your Cedar Gate system and take advantage of all the benefits of an end-to-end solution.
Our Solution: Cedar Gate offers analytics, care, and payment technology specifically built for success in alternative payment models at every stage in a value-based care journey. Whether you are implementing your first upside-only risk program or engaging in complex prospective bundles and full capitation, we have the solution you need.
Our Solution: Configure and model any risk-based agreements, from primary care attribution and upside-only risk all the way to prospective bundles and global capitation. Cedar Gate’s powerful analytics can surface opportunities, and our user-friendly self-service tools make it easy to quickly move into new lines of business and partnerships.
Successful VBC organization must leverage data to pinpoint specific cost and quality opportunities among members. Our platform streamlines the process with proprietary technology to onboard, enrich, analyze, and communicate member data across multiple applications – including third-party vendors and point solutions in existing IT ecosystem. Descriptive, predictive, and prescriptive analytics data transfers to clinical and administrative workflows to synchronize with care teams. Built-in self-service functionality empowers both casual and super users to create dashboards and share vital insights with stakeholders across the organization.
Payers are operating in a continuously evolving regulatory and competitive environment and need flexible technology that rapidly adapts to strategic business demands and opportunities. We provide a complete solution for any payment model in any line of business. We also give you the ability to compose the exact solution you need, integrating it with third party vendors or point solutions in existing IT ecosystems. We can scale up or down based on current needs and anticipated future needs, giving you the power to rapidly integrate systems without sacrificing the benefits of a complete, secure, and fully integrated suite of value-based care products.
To achieve value-based care goals, payers and providers must be on the same page. Collaborative care that breaks down silos paves the way for better care quality, lower costs, and optimal outcomes. Our platform is designed for VBC contracts and programs with tools that simplify the process of establishing networks, sharing performance insights, and building trust through transparency. Surface care gaps and risk insights with EHR-embedded dashboards that pull from clinical and claims data, and share that information to improve decision making to align with clinical and financial goals of your organization and VBC provider partners.
Variations in care drive up costs and reduce care quality. But many organizations struggle to mitigate risks at scale. Our technology platform takes a patient-centric approach, ensuring care teams’ ability to coordinate and address priority needs for each patient. It also aggregates patient cohorts with similar risk profiles, helping you pinpoint and address the root cause of variations. Our care management, utilization management, and decision support tools provide a shared view of member needs with role-based workflows to maximize member interactions and act on critical insights that improve care.
Choosing the right technology can be a daunting task, but our experts are ready to assist.
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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.
