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Lightbeam Well being Options, which focuses on inhabitants well being know-how, has introduced a partnership with AHIP, America's Well being Insurance coverage Plans.
As a member of an AHIP-affiliated group, Lightbeam mentioned it connects payers and well being plans with the instruments they should foster alignment and transparency between payers and suppliers, whereas attaining decreased prices of care, improved outcomes high quality and member satisfaction.
Lightbeam makes use of information analytics for inhabitants well being administration of REACH ACOs, MSSP ACOs, Medicare Benefit, Medicaid, and business populations nationwide.
WHY THIS MATTERS
The partnership supplies payers and well being plans with the know-how to generate data on suppliers, efficiency metrics, establish member danger, and attain weak populations.
It facilitates data sharing between payers and suppliers whereas enabling alignment in key areas resembling HEDIS and Star high quality measures, danger adjustment coding, member retention, and price and utilization patterns.
These options embrace:
- ADT Insights – Spotlight repeat customers and provoke transitional care administration (TCM) workflows so care managers know which members want care
- Supplier Insights – Allows payers and well being plans to section primarily based on supplier efficiency, in addition to generate complete affected person profiles accessible on the level of care.
- Prescriptive AI: Identifies dually enrolled members to make sure correct HCC coding and supplies focused intervention methods primarily based on scientific and non-clinical danger elements.
THE BIGGEST TREND
Dallas-based Lightbeam might be an exhibiting sponsor of AHIP 2024, which is able to happen June 11-13 in Las Vegas, Nevada.
IN THE REGISTER
“We look ahead to attending AHIP and sharing how Lightbeam options are reworking member insights into optimistic outcomes whereas serving to the continued growth towards value-based care,” mentioned Erin Web page, president of presidency applications. and primarily based on Lightbeam Well being Options values. . “One of many greatest challenges that well being plans usually face on this market is the disconnect between payer and supplier organizations.”
Electronic mail the author: SMorse@himss.org