Emerging reimbursement models that factor patient outcomes and provider performance into payment create the need for improved clinical performance, care coordination and accountability beyond the hospital's four walls. In order to achieve success with care management programs, health systems must shift resources to managing the patient across the continuum of care, and better understand the health and risk profiles of patients.
Increases visibility across the full episode of patient care to reduce clinical and financial risk
MedAssets Population Health Solutions empower providers to stratify risk, improve care transition workflow and increase patient engagement across the care continuum. Analysis and modeling capabilities help you to identify cost drivers and promote high-risk patient preventive care compliance.
Creates the foundation for managing patient population health and costs within the local care community:
- Analyzes patient, claims and cost data in order to model prepare and build fee-for-value reimbursement environment
- Defines and models provider and payor reimbursement allocation to quantify the potential financial effects of bundled reimbursement scenarios on your organization by leveraging information from your organization’s current reimbursements
- Aligns incentives by modeling gain sharing arrangements, identifies potentially preventable complications to be reduced as a strategy to improve per-patient margins
Products and Services
Benefit your transition plans with MedAssets team of M.D.s and Ph.D.s offering your organization years of expertise in developing and implementing new episodes for providers and commercial health plans, the Centers for Medicare and Medicaid Innovation (CMMI) Bundled Payment for Care Improvement (BPCI) initiative. The team also has worked with several leading authorities in episode‐building methodologies, including the Integrated Health Association (IHA) and the Health Care Incentives Improvement Institute (HCI3).
Transition of Care Solutions
Develop discharge programs that improve care quality and reduce readmissions for CMS target diagnosis related groups (DRGs). The MedAssets Transition of Care Services offers transition specialists to oversee logistics, pharmaceutical fulfillment, nutrition and durable medical equipment needs before the patient leaves the hospital. We help you to enhance registration processes and discharge planning, as well as coordinate care activities for post discharge appointments, including fulfillment via mail order pharmacy, home delivery of condition-specific nutritional meals, and more. You gain better accountability and execution of operational activities impacting clinical outcomes. Remote monitoring technology and call center follow-up services support patient adherence to discharge plans.