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What is MemberMatch?

The process of claims can extend over several months, which complicates the management of related expenses as time progresses. A slight delay of just a few minutes in identifying patient activities can trigger an unnecessary and costly admission to the hospital, a factor that is vital for effective care coordination and the success of value-based contracts. MemberMatch offers these essential insights in real time, providing care teams with the timely information they need to proactively and efficiently manage ongoing care episodes. This strategy aids organizations that bear risk in improving the quality of care while also considering the financial impact of each member interaction throughout the continuum of care, leading to better patient outcomes and enhanced financial health for the entities responsible for their care. By fostering communication between your care team and the involved clinical staff, valuable context is delivered to enhance both the quality and cost-effectiveness of care encounters, which in turn helps to avoid unnecessary admissions to out-of-network facilities and duplicate testing. Ultimately, this timely data equips healthcare providers with the knowledge necessary for making decisions that can greatly benefit both the patients and the organizations they serve, ultimately fostering a more efficient and patient-centered healthcare system.

What is HealthQx?

Enhance the effectiveness of your value-based initiatives by quickly assessing and understanding the costs linked to episodes of care. Encourage active participation from providers by initiating discussions that are grounded in data and evidence concerning total episode costs and the individual practice patterns of providers. Drive improvements in both cost efficiency and quality by tackling inconsistencies in care delivery and performance across different providers. Leverage analytics to support value-based strategies, delivering insights that aid in optimizing network configurations and fostering clinical advancements. Identify potential avenues for value-based care through a thorough analysis of episode costs, utilizing clinically validated definitions to frame these episodes. Involve providers in discussions centered on value by scrutinizing patterns of utilization, expenses, and differences in care practices. Use episode analytics to fine-tune network designs, update clinical guidelines, and enhance consumer engagement in a meaningful way. Make the process of budgeting for episodes more straightforward by determining average costs per episode along with relevant clinical services, ensuring a clear understanding of financial responsibilities. This targeted strategy not only promotes operational efficiency but also establishes a solid groundwork for long-term enhancements in healthcare delivery, ultimately leading to better patient outcomes and satisfaction. Strengthening the collaboration between stakeholders will further amplify the impact of these initiatives in the healthcare sector.

Media

Media

Integrations Supported

RouteGenie

Integrations Supported

RouteGenie

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Experian Health

Date Founded

1994

Company Location

United States

Company Website

www.experian.com/healthcare/products/care-management/manage-aco-passport-to-health-membership

Company Facts

Organization Name

Change Healthcare

Date Founded

2007

Company Location

United States

Company Website

www.changehealthcare.com/solutions/value-based-payments/healthqx

Categories and Features

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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