Improve performance and optimize value-based care

Value-based care is here to stay. With growing emphasis being placed on the transition to value, and more and more revenue being at risk, healthcare providers must find ways to improve performance and actively participate in alternative payment models. But there are significant impediments to taking on and managing risk, especially around developing the data, reports, and tools necessary to succeed.

ArborMetrix delivers comprehensive performance management solutions that simplify value-based care, and allow providers to chart their own course with alternative payment models.

Value-based care solutions

Delivering high value care and succeeding with value-based care requires more than dashboards and loads of data. You need to get to the meaningful performance insights that engage your clinician and patient communities, drive results, and deliver the value you need — when you need it.

Improve operational and financial performance

By harmonizing clinical, financial, and operational data, you will gain actionable insights that show you what levers to pull to improve operational and financial performance.

  • Manage and optimize operational and financial performance to improve your bottom line, and to mitigate risk under value-based payment models
  • Monitor, evaluate, and manage the complete costs and quality of episodes of care
  • Reduce variation in acute care costs and understand drivers of post-acute costs
  • Monitor costs alongside budget to identify where you have deviated so you can make adjustments accordingly
  • Evaluate staffing efficiency across your practice – whether one facility or site or multiple
  • Optimize provider productivity by monitoring the number of procedures, encounters and RVUs
  • Automate patient communication to ensure patients are up-to-date and engaged in their care and outcomes

Achieve higher results and scores for programs such as BPCI-A and MIPS

The advanced analytics and reports within the ArborMetrix platform will provide you with actionable information you need to understand your performance, drive real-time interventions and adjust your performance to maximize results in alternative payment programs such as CMS’ Bundled Payments for Care Improvement Advanced (BPCI-A). You will also easily be able to comply with mandated quality reporting and reimbursement programs such as the Merit-based Incentive Payment System (MIPS).

Bundled payment solutions
Our bunded payment and episode analytics solutions give at-risk healthcare providers and Accountable Care Organizations actionable insights that empower them to take on risk and succeed with value-based payment models. We provide bundled payment and episodic analytic solutions for:

  • Bundled payment programs such as BPCI-A and CCJR, as well as programs through private payers
  • Custom episode bundles

Our comprehensive episode analytics solutions include five key components that help providers monitor, evaluate, and manage the complete costs and episodes of care.

  • Accurate tracking of costs and payments across the continuum
  • Timely quality monitoring, delivered on-demand
  • Reliable forecasting of reconciliation payments and penalties
  • Identification of cost-saving and post-discharge opportunities
  • Standardization and tracking of clinical processes

MIPS solution
ArborMetrix provides comprehensive support for MIPS reporting with all of the requirements for a CMS-approved Qualified Registry (QR) and Qualified Clinical Data Registry (QCDR). Our solutions enable you to drive your own success with quality reporting, whether you simply want to avoid a penalty or are aiming for an incentive payment.

Prove and improve quality of care

Our solutions optimize performance by helping providers improve quality, lower costs, and maximize efficiency. With ArborMetrix, you will be able to meet your performance targets, and engage providers with the clinically rich and precise information needed to improve the care they deliver.

You will be able to drive performance improvement across your entire ecosystem, and deliver real-time, credible feedback performance to physicians.

  • Gain a comprehensive view of performance by integrating and analyzing clinical, financial, and operational data from all relevant sources
  • Build trust and engage providers in quality improvement with clinically-relevant, scientifically-valid reports available on-demand in real-time
  • Identify best practice, report on adherence to best practice, and provide a toolset to show best practice for each patient
  • Deliver timely performance feedback to providers with objective and relevant clinical measures that include benchmarks and peer comparisons assessing efficiency, case mix, and quality
  • Make informed decisions using our robust predictive analytics engine, which enables patient-level decision support at the point of care
  • Benchmark with confidence using clinically-validated outcome measures adjusted for fair comparisons

Powerful technical and analytic capabilities

“As a Medicare pioneer ACO, it is tremendously challenging and time-consuming to identify and cost each of the components of an episode of care. After evaluating several episode grouper products, we were most encouraged with the technical and analytic capabilities within the ArborMetrix solution.”

Chief Medical Officer, Atrius Health

Customer use case

HQI: Leading the way

California's Hospital Quality Institute is leading the way with its new Hospital Quality Intelligence Initiative (HQI2), a one-stop source to drive statewide quality improvement.

Program highlights:

  • Leverages data into new insights
  • Finds improvement opportunities
  • Greatly improves timeliness of data 
  • Provides risk-adjusted measures
Learn more
Sound Physicians Atrius Health Hospital Quality Institute ASCP MBSC

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