Health Plans 
Quality
Improvement



Risk      Management

Network & Payment Management
Clinical Management
Halfpenny ITF Hub Health Plans
Increased

Risk Adjustment

Factors
Identification and

closure of gaps in care

via bi-directional

clinical data exchange
Member


Retention
Support development

of value based

contracting
Support Quality

Payment Programs

(MACRA)
Improved clinical

coordination with

providers
Improved


HEDIS scores
Attain


targeted Star Ratings
Reduction


in manual chart reviews
Reconciliation


of discharge instructions


Increased Risk Adjustment Factors


Identification and closure of gaps in care via bi-

directional clinical data exchange


Member

Retention

Support development of

value based contracting

Enable defensible reconciliation of

value based contracts


Improved clinical coordination with providers


Support Quality Payment Programs (MACRA)


Real time identification of new diagnoses and

exacerbation of existing conditions


Maximize member clinical outcomes through

quality and coordination of care



Reduction in avoidable utilization
Our clinical integration solution helps Health Plans to improve care coordination with access to complete lab and clinical data to help maximize care management strategies.
Our solution enables...
  • Powerful analysis & clinical decision support tools
  • Transmission of alerts & reminders with interventions for patients & providers
  • Better sharing between the care community
  • The measuring, reporting, and improvment of clinical & financial outcomes
  • Integrations of disparate data sources for Population Health Initiatives
  • Early identification of new diagnoses & exacerbation of existing conditions
  • Big data initiatives
  • Patient trending & utilization in predictive modeling
With real time access to lab, radiology, and essential patient chart data, we help health plans model individuals who have high risk of complications to have the greatest potential to impact outcomes, lower healthcare cost and improve patient quality of life.
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