Maximizing and accelerating payer-provider collaboration

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Payer-provider collaboration

Payer-provider collaboration

As healthcare providers and organizations transition to value-based delivery models, one benefit that is often overlooked is the negotiating power you can have with your payer community. An effective population health management program with the appropriate physician engagement, technology platform, and necessary processes increases the value of the healthcare services you provide and positions your organization to collaborate with payers and negotiate more favorable terms.

Philips Wellcentive provides the population health management technology, services, and experience that has allowed organizations to establish collaborative, mutually beneficial relationships with payers for more than 10 years. Payers are under increasing pressure to deliver value to their clients, and partnerships with healthcare providers and organizations that share this focus are beneficial to the payer as well.

Payers also need clinical data and other information from providers in order to improve their own quality outcomes and rankings, such as HEDIS and STARS. Philips Wellcentive’s data aggregation and analytics capabilities empower providers to track and demonstrate the high-quality care they are delivering and prove they are valuable partners for payers.

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

Key benefits

Enable comprehensive PHM

Enable comprehensive PHM

Enables effective population health management programs

Align stakeholders and outcomes

Align stakeholders and outcomes

Focuses on areas of interest to both payers and providers

Submit and leverage data

Submit and leverage data

Aggregation and submission of data to payers to improve their outcomes

Payer-provider collaboration

Payer-provider collaboration

Increased collaboration allows providers a more favorable negotiating position with payers

 

Disrupting care delivery for the better

Cindy Gaines, Vice President and Chief Operating Officer of Borgess Health, a member of Ascension Health, breaks down how population health has disrupted their care delivery model for the better—and how Wellcentive’s PHM solutions are helping them meet their accountability measures and enhance their patient engagement strategies.

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.