Healthcare-decision-support

Verisk Health is the leading independent provider of risk assessment and decision analytics to the global healthcare industry. use our deep understanding of risk to uncover risk mitigation opportunities for businesses and governments, providing the technology and expertise they need to reduce financial and medical risk, contain costs and improve outcomes for individuals and, ultimately, entire populations. 

Verisk Health help you increase the efficiency of HEDIS solutions reporting and get the clarity you need to better gauge progress and inform business decisions. With their neutral, independent perspective, they get to the heart of your data using decision analytics driven by the industry standard of risk and quality assessment models. Verisk Health is developing the world’s best medical and financial data mining and business intelligence solutions for the healthcare industry. Verisk Health Sightlines Performance Measurement makes your HEDIS reporting process a powerful and efficient experience. They work closely with their clients to provide focused guidance and to understand their needs, obtaining input that leads to enhanced software solutions.

If your goal is to process your own HEDIS calculations in-house, then the Quality Engine, the same engine used by Verisk Health for their ASP clients is the solution. They offer comprehensive services to support HEDIS compliance, including expert project management, ongoing HEDIS runs, and chart review tools and services via their partner relationships. Also, their Web Portal software allows you to view important checkpoints for the HEDIS season, schedule meetings, transfer files, review your HEDIS rates by measure, and more. With the help of Verisk Health’s software, you can view, query, analyze and measure HEDIS data using standard or custom specifications, filters or drills, calculate HEDIS measures quickly and accurately using fully NCQA-certified software, and collect HEDIS administrative and hybrid medical record data quickly and easily, develop custom measures for your own clinical reporting initiatives, export measures into their state-of-the-art Sightlines Enterprise Analytics and Sightlines Medical Intelligence platforms to support integrated quality measures across the care management continuum, access secure, web-enabled software that facilitates the communication, planning, and managing of projects and checkpoints related to HEDIS measure production, and you can access chart review tools and services via their partner relationships. They have consistently developed cutting-edge technology in healthcare data reporting software. Their clear, focused approach to member and claim level drill-down reporting is unmatched in the industry.

Verisk Health offers Healthcare Decision Support that enables physicians to deliver excellent quality of care to their patients while understanding risks and appropriately controlling costs. Verisk Health helps businesses understand their healthcare risk to better. They leverage the healthcare data in identifying and mitigating clinical and financial risk which are the key factors in enabling physicians groups to deliver excellent quality of care to their patients while appropriately controlling costs. This need to understand and manage risk has become particularly critical with the emergence of payment reform as a leading movement in the healthcare industry. Verisk Health excels at helping physicians groups understand their risks and find opportunities to lower costs, while delivering the highest level of care. Additionally, their tools help position physicians groups to attract the best and brightest providers by clearly demonstrating commitment to clinical excellence, and fair and effective payment and risk adjustment methods. They allow getting a longitudinal view of all patient information to support better, more proactive clinical decision-making. The evidence-based clinical rules that power our predictive models allow you to gain insight into the risk before it happens giving you time to take action. Verisk Health’s medical, financial and technical experts are uniquely qualified to help you develop strategies for proactive care management, reimbursement models, performance measurement and other specific needs.

The industry standard of risk adjustment and prediction engines with their new payment and performance solution module is used to analyze and quantify both financial and clinical risk. You can use it as a stand-alone tool or inside their Sightlines Medical Intelligence platform. As risk shifts from payors to providers, Verisk Health’s advanced data analytics provide a clear picture of the cost, utilization, and quality drivers that affect the group’s overall performance. Their market-leading predictive models employ evidence-based clinical rules to quickly identify gaps in care, providing physicians with actionable data to inform treatment. Additionally, their experts unique perspective on risk can provide insights into the information revealed by their technology, outlining clear courses of action and opportunities for improvement. As a Healthcare Decision Support provider, they help their members make positive healthcare choices. Verisk Health is well positioned to respond to the growing demand for healthcare data analytics. They develop proactive strategies for increasing quality of care and reducing costs in disease and case management services.