A leading U.S. health system struggled to streamline its billing and payment workflow for the new influx of virtual care visits. Patients having different plans across various payers affected how reimbursements were obtained for each type of virtual visit. The health system wanted a platform that augmented its billing and copay workflows while ensuring a secure financial transaction within a few clicks.

A leading federally qualified health center (FQHC) providing care to the underserved segment of the community regardless of their ability to pay sought to improve engagement and facilitate better access to care. The idea was to gauge the gap between available health care resources and the medium to reach them. With the lack of a comprehensive virtual care solution, the organization struggled to serve the communities to their full potential, and as a result, many suffered adverse health consequences.

A leading health system with a multi-state presence in the Western United States, comprising approximately 30 acute care hospitals and other health entities, dealt with an ineffective resource management system. Due to the lack of real-time visibility into COVID operations and data silos, it was difficult to make informed administrative decisions and enhance patient throughput. The system also wanted to resolve the burgeoning resource challenge to adhere to compliance and reporting requirements.

A renowned healthcare services vendor assists payers, specifically Medicare Advantage health plans with complete and compliant documentation to improve Medicare Advantage member risk score accuracy and Star Ratings.

A leading not-for-profit New York-based healthcare network with a bed capacity of more than 250 and over 400 affiliated physicians, aimed to enhance efficiency and increase revenue using real-time insights on a surgical workflow dashboard. To overcome the unpredictability in wait times and increase visibility into scheduling inefficiencies, the organization leveraged Innovaccer’s Hospital Command Center, powered by a FHIR-enabled Data Activation Platform to improve patient experience and streamline care.

A leading Accountable Community of Health (AHC) based out of Pierce County, Washington wanted to tighten the care coordination process for their partners in the community distributed across many practice sites. The ACH was challenged to integrate data from different kinds of electronic health records (EHRs) and close referral loops for hundreds of patient records.

A leading clinically integrated network (CIN), aimed to bring its providers from across Nebraska and Southwest Iowa together to participate in a new program of seamless and collaborative care delivery. To power its value-based initiatives, the organization leveraged Innovaccer’s FHIR-enabled Data Activation Platform to enhance care delivery across the various spheres in their system.

Preventable hospital readmissions are costing the healthcare system approximately $25 billion on an annual basis. There are a number of reasons for readmissions including no follow-ups, poor medication adherence, and ineffective transition care.

Approximately one-third of current Medicare beneficiaries are participating in a Medicare Advantage plan against traditional Medicare. Despite the competitive environment, payers can drastically improve their outcomes and ensure the success of their program if they are able to enhance their Star Rating.

Osler Health already had a third-party analytics vendor in place and required an integration engine for its 27 practice sites that had to be connected to provide consolidated patient data. The clinical staff needed an uninterrupted and near-real-time data exchange for their panel of 350,000 lives to easily complete the required documentation and reporting procedures.