Longitudinal Patient Records
Create comprehensive health histories for members.
Unlock Siloed Clinical Data to Create Longitudinal Patient Records and Drive Value-Based Contracting
Payer access to comprehensive, high-quality clinical data has been a major missing piece of the puzzle for achieving better care, equity and affordability.
Not anymore.
Our Clinical Data Solution gives health plans all the clinical data they need to build longitudinal patient records and immediately begin improving care and payment models.
Leverage Clinical Data at All Points of Need
Our Clinical Data Solution integrates and validates clinical data from HIEs, EMRs, digital apps and other external sources with core payer data including claims eligibility and case management. Our solution delivers clinical data tailored to meet payer needs, including:
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HEDIS® and CMS Star Ratings
Demonstrate adherence to quality, performance and other standards required for participation in federal programs.
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Value-Based Care and Payments
Enhance contracting and financial incentives with better forecasts and tracking of spending, costs and outcomes to improve care and affordability.
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Population Health Management
Segment members, identify specific needs, deliver care, measure outcomes and share that data with providers and other key stakeholders.
How We Do It
Abacus Insights pulls, consolidates and validates claims data throughout the process from:
- Payer systems
- Pharmacy benefit managers
- Utilization management companies
- Delegated entities
- Providers
We create interoperable usable data, which is accurate, complete, timely, relevant, versatile and use case and application agnostic.
Usable data on claims and cost of care delivers information and insight for improving quality, outcomes and member experience while controlling costs.
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