MedInsight VBC

Every stage of the transition to value-based care (VBC), involves balancing increased risk with the need to provide quality care and control costs. The MedInsight VBC Platform is a data engine designed to fuel meaningful insights and support the efforts of Accountable Care Organizations (ACOs) seeking to optimize operational performance, accommodate different payment models, reduce financial risk, facilitate superior care delivery, enhance patient access, and foster care collaboration.

Primary use cases for the MedInsight VBC platform:

• Financial analysis
• Patient management
• Right-size utilization
• Physician engagement

MedInsight VBC platform components include:

• Insights: Identify quality of care improvements, savings opportunities, and ways to lower financial risk – and visually communicate them to stakeholders through the MedInsight VBC reporting interface.
• Analytics: Perform advanced, custom analysis on claims data aggregated across payers, enriched with groupers and metrics, and audited for data quality and integrity via the MedInsight Data Confidence Model.
• Contracts: View financial performance across contracts to analyze the likelihood of success by contract, set individual contract targets, and track performance over the year.
• AI: Apply artificial intelligence (AI) and machine learning (ML) models to data for better insights, faster; and access the Emerging Experience dataset via AI.
• Bundles: View all services provided to patients, streamline digital tools, and identify cost savings with the MedInsight VBC bundled payment reporting.