Payers
Successful payer oversight is a fully collaborative effort between payers, their contracted providers and plan members.
Equipohealth
Transitioning to value-based reimbursements
Transitioning to value-based reimbursement solutions empowers payers to encourage providers to adopt care coordination solutions that enhance efficiency, transparency, and performance.
Equipohealth
End-to-end care coordination
Equipo's end-to-end payer care management solutions and value-based reimbursement solutions offer a full suite of critical care management applications, helping payers control costs and expand member populations by managing the providers who deliver patient care.
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Essential Operational And Performance Requirements
Real-Time Visibility
of provider networks for individual evaluation and overall comparision
Equipohealth
Strong Clinical Documentation
with on-demand availability
Equipohealth
Improved Quality Measures
and patient outcomes across member cohorts
Equipohealth
Reduce Costs
by eliminating redundancies and operational inefficiencies
Equipohealth
Equipohealth
Medicare Advantage
Medicare Advantage (MA) plans reflect the central demands of value-based reimbursements. Their growth is fueled by delivering the highest quality service to members and sureing up outcomes and member experiences. With Equipo's strong clinical documentation, real-time visibility and advanced coordination for preventive interventions, MA plans can avoid unnecessary costs and focus on delivering quality, sustainable and relevant services to their members.
Equipohealth
Requirements for Effective MA Plans
  • Complete visibility into member populations
  • Risk identifications and trend analysis
  • Customised, risk-based care plan development and management
  • Care manager engagement and member outreach
  • Care plan forecasting - future cost of care, plan design and member needs
Equipohealth
Self-Insured Employers
Offering competitive and comprehensive employee healthcare benefits is crucial for attracting and retaining top talent. However, employers must balance this with healthcare cost management. Equipo provides actionable insights and visibility into employee healthcare expenses, enabling employers to optimize healthcare cost reduction strategies. Our end-to-end care coordination and patient engagement solution facilitates risk stratification of employee populations, cost-based prioritization, and preventive care management, driving targeted interventions that lower costs and boost employee satisfaction.
Scorecard
  Star Rating Improvement
  Reduction in Missed or Incorrect Codings
  Reduction in Gaps
  Increase in Member Atrribution