Improving quality outcomes and reducing the cost of care

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Health Plans

Health plans

Closing gaps in care, delivering effective care management, and keeping patients healthy beyond episodic events are fundamental to the success of a health plan. Focusing on these areas—while meeting new regulatory and compliance measures and adjusting to shifts in payment models—can be a major barrier to the continued growth and success of a health plan.

Philips Wellcentive provides solutions to overcome these barriers, delivering care management and other population health management technologies that can help manage your entire patient population or identify and target high-risk subpopulations of patients. Philips Wellcentive helps to reduce overall costs and enhance the quality of care that is delivered. Our data aggregation and analytics capabilities help health plans improve their HEDIS scores and STARS ratings and improve the accuracy of HCC coding using a more comprehensive clinical and administrative data set.

Case study

Philips Wellcentive helps MGM Resorts stack the wellness odds in employees’ favor

A detailed analysis of how Philips Wellcentive helped MGM Resorts International, a major employer, improve their health plan through data aggregation and organization solutions.

Read case study »

Philips Wellcentive is not only aggregating data from the PCPs in the program but also from specialists, hospitals, labs and pharmacies. This is powerful for us because it creates a miniature health information exchange for our program. On top of that, the solution then organizes the data into patient registries designed to help providers manage their population of patients.”

Matthew Morrison, Executive Director of Healthcare Operations, MGM Resorts International

Philips Wellcentive is not only aggregating data from the PCPs in the program but also from specialists, hospitals, labs and pharmacies. This is powerful for us because it creates a miniature health information exchange for our program. On top of that, the solution then organizes the data into patient registries designed to help providers manage their population of patients.”

Matthew Morrison, Executive Director of Healthcare Operations, MGM Resorts International

Proven impact

Aggregate and leverage a more robust view

Aggregate and leverage a more robust view

Obtain a more complete member view across claims, clinical and administrative data

Stratify populations

Stratify populations

Identify high-risk patients and target key sub-populations

Improve scores

Improve scores

Optimize HEDIS, STARS, and HCC scores

Provide care management

Provide care management

Reduce the total cost of care delivered through care management workflows

 

Innovating a new healthcare ecosystem

Matt Morrison, executive director of healthcare operations of MGM Resorts International, talks about how a close relationship with Wellcentive has helped customize how the Wellcentive solution meets critical business needs.

Read more about MGM Resorts International »

Let’s talk   

What are your biggest challenges in value-based care? Every day, we are helping providers transform the way they deliver care, supporting enhanced patient outcomes and improved use of data. Reach out to us today to learn how you can avoid the cost of inaction and power your success in the new healthcare landscape.

Contact us today to start your journey to value-based care success.