HealthEC facilitates an organization’s transition from fee-for-service to value-based care models by providing the infrastructure, resources and strategic guidance to improve patient outcomes and reduce costs.
Recognizing the enormous opportunities clients have to optimize their population health management strategy, HealthEC also provides consulting services. We offer a full portfolio of solutions to help clients manage their provider network, health plan contracts, analytics, and performance of the value-based business – while proactively improving population health through care coordination, disease management and patient education.
Whether providers require assistance managing 5,000 or 5 millions lives, our robust consulting and managed services capabilities produce measurable clinical and financial outcomes, and support the following risk-based programs:
HealthEC offers a comprehensive, KLAS-recognized population health management solution. The suite integrates all electronic patient data (any system, any setting of care, and in any format) and applies sophisticated analytics to identify provider-specific patterns and guide patient care interventions. Our platform helps customers coordinate care and maximize incentive payments by identifying and managing high-risk and chronically-ill patients, and addressing gaps in care. Sophisticated care models simplify clinical workflow, engage patients, and optimize performance to support quality measure reporting.
HealthEC’s value-based care consulting services address critical operational issues while leveraging opportunities throughout the enterprise. Our subject matter experts help healthcare leaders drive process change, align teams, engage providers, standardize care models, and define success metrics and measurements.
Armed with performance data and innovative population health management strategies, HealthEC helps organizations articulate their value proposition to health plans. Further, by creating an environment that supports contract negotiations with payers, organizations are empowered to define strengths, describe current performance against benchmarks, recognize opportunities for improvement, and evaluate the potential impact of shared savings and risk-based terms.
HealthEC can provide staff augmentation or full outsourcing to seamlessly coordinate case management, disease management, utilization, and health and wellness activities. Our solutions promote efficient workflow by stratifying patient risk and prioritizing workflow activities.
Supported by HealthEC, care teams (patient navigators, health educators, social workers and/or pharmacists) collaborate with physicians to conduct patient outreach, gather detailed assessment data, manage individualized care plans, close care gaps, coordinate access to resources, and facilitate care transitions.
HealthEC can also facilitate care management strategies, including:
HealthEC provides full administrative services to support organizations in their value-based care journey, including:
Confident in our ability to deliver results, HealthEC will assume risk in exchange for an interest in savings, based on performance.
HealthEC has produced measurable clinical and financial results for ACOs/CINs/IPAs across the nation, as well as commercial, Medicare and Medicaid payers, including: