DDS™ HEALTHEX™

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Marketplace competitive analytics
Enhanced risk score management
Communicate gaps in care to physicians
Pharma Analytics Platform
Provider profiling & segmentation
Monitor Utilization trends at patient & provider levels
Quality Reporting & HEDIS Management

Modules

population health manage

Population Health Management

  • Overall and patient level risk scores
  • Operational/ financial trends comparable by facilities across provider networks
  • Avoidable admission & readmission flagging
  • Matching population profile with provider capabilities
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  • Identify and fix gaps in patient care
  • Optimize population risk overall
  • Proactively drive cost containment
Risk adjustment module

Risk Adjustment

  • Prevalence and benchmark of diseases
  • Risk score across segments
  • Suspect risk scores validation
  • Potential risk score and revenue improvement
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  • Extensive team of experts and coding specialists
  • Sustainable risk adjustment solution
Analytics Platfom

Member & Provider Engagement

  • Segmentation of members on multiple attributes compliance, risk etc.
  • Tracking effectiveness of adherence/ compliance programs by member subgroups and channel
  • Correlation of member outreach to STAR/ HEDIS measures
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  • Improved retention & satisfaction
  • Enhanced compliance from members
  • Lower cost to plan by avoiding admission or readmissions

Quality Management

  • NCQA-certified HEDIS measures
  • Real-time performance tracking
  • Provider quality profiles
  • Physician scorecards
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  • Proactive identification of gaps in care
  • Use of HEDIS/ Star measures as a competitive advantage
  • 100% regulatory and statutory compliance
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Resources

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