Medicare Advantage Star Ratings and other value-based care structures require integration between the quality, pharmacy and finance teams to ensure maximum health plan ROI. Quantify™ is the Adhere™ platform’s real-time analytics engine that integrates health plan quality gaps with financial budgeting processes – measure by measure. Quantify’s advanced analyses stratify and prioritize budgetary investment scenarios across each plan contract quality measure to maximize the aggregate Star Ratings and year-over-year quality improvement (Qi) factor.
Quantify’s data integration leverages machine learning and adaptive data preparation processing to aggregate HEDIS®, pharmacy claims, CAHPS and HOS datasets to provide population cohort analyses. Business analytics provide visualizations that overlay financial costs with benchmarked population predictive models using comparative data sets. Executive dashboards and ad hoc reporting enable health plan executive teams to work collaboratively with greater transparency to achieve greater Star Ratings.
360 degree of performance reporting including consumer, provider and measure
Stay on target with transparent performance impact and planning
Build good, better, best scenarios to determine outcomes impact
Real-time analytics generate predictive Star Ratings performance, including the simulated i-Factor measure boost
Monthly insights into quality measure prioritization for improved overall Star Ratings performance with targeted consumer interventions
Gap closure predictive modeling with consumer and provider-specific engagement analyses
Robust financial forecasting scenarios support team collaboration for quality measure intervention tactics
Resolve™ is AdhereHealth's clinical decision support solution that guides medication adherence intervention using Stratify™ predictive analytics.
OptimizeMTM™ is AdhereHealth's Medication Therapy Management (MTM) solution that addresses client goals and regulatory requirements by incorporating Stratify™ predictive analytics.