Master Healthcare Complexity. Discover Opportunity.

Evolving compliance regulations, the expansion of Medicare and Medicaid, health insurance marketplaces, information digitization, privacy issues, and value-based payment models – all complicate your ability to effectively manage and deliver healthcare.

They also create new opportunities. By combining one of the richest stores of pharmacy, medical, and behavioral data with advanced analytics, industry-leading technology, and strategic advisory, we can help you optimize individual consumer health outcomes to help increase revenues, while managing costs and risks.

Of Interest...
  • HEDIS Guide 2019: The Quest for Better Health Outcomes
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  • Podcast: Transitioning to Value-Based Payment - 5 Best Practices for Success
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  • Where Is the Barrage of Policy Updates Taking Part D?
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  • Medicare Advantage and MACRA
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Navigating Medicare Advantage Value-Based Design Model

Learn more about the September 1, 2015 announcement of the Medicare Advantage Value-Based Insurance Design (MA-VBID) model.
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Care Density: A Social Network Approach to Claims Data

Hear how leveraging care density metrics can affect the health of your members and the financial well-being of your health plan.
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Intervention Strategies to Sustain High Star Ratings

In this white paper, we examine opportunities for plans to accomplish greater success with Stars and describe some tailored interventions we have seen succeed.
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