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Obtain Actionable Insight from Medicaid Claims Data Analysis
Obtain Actionable Insight from Medicaid Claims Data Analysis Medicaid claims data can offer a wealth of critical information about your program – but this data can be opaque, and the learnings are often difficult to expose. Our experienced analytic team can help you to identify and extract these important data learnings. We will create a [...]
May 11, 2021
Pay for Performance Improvement “Sprint”
Pay for Performance Improvement “Sprint” The FY20 Pay for Performance (P4P) and Quality metrics leave little time for delay! Depending on when you’re ready to “sprint,” we have a few months to improve this year, or – if the infrastructure for improvement is not yet built – we have a few months to identify and [...]
July 29, 2020
Post-Acute Care Program Evaluation
Post-Acute Care Program Evaluation It is widely recognized that Post-Acute Care (PAC) is a significant component of total cost of care and is a key component of the care continuum. The challenge is identifying the best partners, then monitoring quality, utilization, and cost patterns of the various PAC providers and the resulting impact on the [...]
Readmission Predictor using Artificial Intelligence/Machine Learning
Readmission Predictor using Artificial Intelligence/Machine Learning Hexplora is an Analytics and Data Management company that delivers the Readmission Predictor in a cloud-first model using a state-of-the-art Artificial Intelligence/Machine Learning platform on Microsoft Azure. Having the right insight at the right time is critical for the time-sensitive task of reducing readmissions within 30 days. Improvements in [...]
May 11, 2021
Readmission Reduction Improvement Coaching “Sprint”
Readmission Reduction Improvement Coaching “Sprint” This TA engagement is for teams who are ready to make a change to their readmission reduction (or post discharge follow up) processes to get better results. We will assess current goals, evaluate current performance. We will critically evaluate existing targeting criteria and critically evaluate current service delivery. We will [...]
July 29, 2020
Readmissions “Sprint:” Focus on COVID-19
Readmissions “Sprint:” Focus on COVID-19 We are learning so much every day about the acute manifestations and management of COVID-19. We are learning a bit about the longer term recovery aspects of COVID after hospitalization. This is an area that is of great importance to population health teams so that we can update our service [...]
Readmissions “Sprint:” Focus on COVID-19 (Introductory Offering)
Readmissions “Sprint:” Focus on COVID-19 (Introductory Offering) We are learning so much every day about the acute manifestations and management of COVID-19. We are learning a bit about the longer term recovery aspects of COVID after hospitalization. This is an area that is of great importance to population health teams so that we can update [...]
Reduce Medicaid Readmissions Using ASPIRE – Training
Reduce Medicaid Readmissions Using ASPIRE – Training Reducing readmissions is a key competency and pay-for-performance metric for ACOs, and improving follow up after hospitalization is a quality metric for CPs. It’s not easy, but it is possible – and many organizations have implemented effective strategies that you can implement as well! We wrote the book [...]
Reduce Medicaid Readmissions Using ASPIRE – Training (Webinar Series)
Reduce Medicaid Readmissions Using ASPIRE – Training (Webinar Series) Reducing readmissions is a key competency and pay-for-performance metric for ACOs, and improving follow up after hospitalization is a quality metric for CPs. It’s not easy, but it is possible – and many organizations have implemented effective strategies that you can implement as well! We wrote [...]
Role of the Emergency Department in Reducing Readmissions
Role of the Emergency Department in Reducing Readmissions What is a common success strategy among teams with measurable readmission reduction results? They know that reducing readmissions is not just about using risk scores, developing good discharge plans, and making post-discharge phone calls. They know that the opportunity to reduce readmissions doesn’t stop when the patient [...]
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