⚡ Quick Summary
This week, various health IT vendors introduced innovative tools that utilize advanced analytics, automation, and artificial intelligence. These tools aim to help healthcare providers and payers identify potential care gaps by integrating real-time insights into their existing workflows.
💡 Key Features and Benefits
- 🔑 Improved Coding Accuracy: Innovaccer has launched a new platform called 360-Degree Gap Closure, designed to enhance risk adjustment and streamline gap closure for health plans.
- ⚙️ Integrated Alerts: Veradigm has developed a gap closure workflow that sends alerts directly to providers’ EHRs, enabling them to address care gaps efficiently.
- 📊 Patient Insights Overlay: MedeAnalytics and Holon Solutions are collaborating to create a patient insights platform that integrates seamlessly with EHRs, improving care quality and reducing administrative burdens.
👩⚕️ Enhancing Coding Accuracy Across Care
Innovaccer’s new platform aims to close care gaps and streamline risk adjustment processes. Traditionally, health plans have relied on disconnected tools and manual processes, which can lead to compliance risks and increased costs. The 360-Degree Gap Closure platform allows payers to combine various review methods to effectively close gaps across care settings, including provider offices and pharmacies.
According to Innovaccer, seamless data exchange with provider EHRs is crucial for improving risk adjustment and quality. The shift towards value-based care by the U.S. Centers for Medicare and Medicaid Services makes this gap closure essential for enhancing coding accuracy and member outcomes.
📩 Sending Alerts to Providers
Veradigm’s new integration allows over 3,500 healthcare practices to receive alerts about gaps in care directly within their EHRs. This feature enables providers to address quality and risk gaps during patient interactions, potentially improving clinical decision-making and patient outcomes.
These alerts can also enhance claims acceptance rates, as providers can earn incentive payments for addressing care gaps, creating an additional revenue stream.
📊 Creating a Patient Insights Overlay for EHRs
MedeAnalytics and Holon Solutions are working together to develop an integrated patient insights platform that enhances care quality while reducing administrative burdens. This platform is expected to significantly improve operational efficiency and patient care quality, with projected increases in gap closure rates and revenue capture.
The AI-powered overlay provides additional patient data directly within EHRs, allowing for timely interventions and improved efficiency for care teams. This integration also minimizes the need for multiple logins and allows for customized alerts based on organizational priorities.