Enabling High-Value Provider Performance Through Tailored Healthcare Analytics
HealthCorum delivers granular insights to drive provider network optimization strategies, from regional to nationwide deployments
Health Plans & Insurers
Referrals are a vital part of tracking patient flow and communication between primary care and specialty providers, yet these relationships are not always apparent. HealthCorum has developed a proprietary solution to identify referral activity based solely on information contained in insurance claims data. Clients use our referral insight to mitigate potentially harmful cascades of wasteful specialty care spending while ensuring that network leakage is kept to a minimum.
Self-Funded Employers & TPA’s
Empower more informed employee decision-making by revealing the highest-value physicians and facilities for their next office visit or procedure. If given the choice, employees are likely to choose providers with high HealthCorum scores, which can be embedded in provider directories or used to complement other employee benefit solutions. Improve outcomes, save money, and reduce absenteeism without disrupting provider networks.
More hospitals are contracting with commercial payers that tie payment to performance and partnering directly with employers to provide care on a capitated, predetermined or shared-risk basis. HealthCorum helps hospitals:
- identify high value providers who are ready for risk-based contracts
- match the right providers to patient procedures
- report low value care
Establishing a network of high-quality, low-cost providers is a key to risk based ACO success. By partnering with HealthCorum ACOs will lean on their networks of high-quality, cost-efficient providers to improve patient outcomes, reduce costs of care, and achieve shared savings. HealthCorum also helps ACOs develop a high value network of facilities so the ACOs will see shorter lengths of stays and lower hospital readmissions rates, which are two metrics typically used to evaluate ACO performance.
Send us a Message
55 Court St. Second Floor
Boston, MA 02203
Thought Leadership Article:
Data-Driven Insights Key to Advance Value-Based Care