A leading Puerto Rico-based healthcare information technology company was able to enhance the Star rating of their Medicare Advantage plans by integrating their disparate data sources and streamlining their approach to closing gaps in care. They tracked the gaps in the network and prioritized patients that needed Annual Wellness Visits. Over 15,000 unique members were captured and they were able to improve their Star Rating from 3.5 to 4.5.
Clinical and claims data for over 15,000 attributed lives was streamlined
The network was able to increase its Star Rating from 3.5 to 4.5
The number of care gaps being plugged improved by approximately by 15%
The performance across Annual Wellness Visits was particularly improved by 10%
Mercy ACO leveraged the Data Activation Platform to build a single source of truth that could provide insights on their care continuum. With the Data Activation Platform, they were able to connect hundreds of disparate systems across its participant organizations while co-developing InCare, an integrated care management solution on top of it. As a result, they were able to reduce ED utilization per 1,000 by 6.65%, decrease 30-day readmission rate by 7.14%, and increase annual wellness examination rate by 31%.
14.26% increase in the primary provider services per 1,000
31% increase in the annual wellness examination rate, with some sites registering more than 70% completion rates
6.65% reduction in the ED utilization per 1,000.
7.14% reduction in the 30-day readmission rate
300% increase in the health coach interventions to 95.7 new engagements per health coach per month
An ACO based out of Midwest America was facing considerable challenges in plugging the overhead costs due to overutilization of resources. With Innovaccer’s data activation platform, they were able to reduce SNF visits by 12% and were able to reduce 30% of total costs because of low readmissions.
Reduced SNF visits by 12%.
Improved LOS for major joint replacement or reattachment of lower extremity w/o MCC by 10% and with MCC by 16%, as compared to the National LOS average.
Routing patients through low cost and low readmit SNFs reduced SNF costs by 30% and overall PMPM by 2%.
A leading CIN based out of Nebraska deployed InConnect to unburden its care teams from manual patient outreach. With InConnect, the CIN was able to reach out to a broader set of patients and educate them on the go. The solution was instrumental in plugging care gaps and improving the patient experience. As a result, the organization saw a 39% reduction in 48-hour readmissions and generated $1.9 million in savings.
An Iowa-based ACO wanted to reduce the number of emergency department visits in their network to bring down the overall cost of care. Driven by their primary goal of delivering quality care with seamless patient experience, the ACO looked at ED visits as an opportunity to enhance financial outcomes and serve patients better.
ED Utilization per 1000 reduced by 6.65%.
Increase in Primary Care Services per 1000 by 14.26%.
Increase in Annual Wellness Rate by 31%, with some sites registering more than 70% completion rates.