For Payers

“Finding partners who can curate and correlate clinical data frees up resources to focus on strategic value add rather than chasing compliance.”

Mark Marciante, Healthcare payer IT executive

Payers invest heavily in care management programs because healthier members and early intervention mean better quality ratings, better member satisfaction, and a better impact on your bottom line.

New truth for quality and care management

Payers rely on real-time, accurate, and quality clinical data. But obtaining that data and turning it into actionable insights can be challenging and complex. Payers know firsthand that claims data isn’t enough to provide a complete patient picture; they must have clinical data, too.

Verinovum cleans, curates, and enriches clinical data so payers can:

Care Manager Improvements icon
Improve care manager effectiveness and efficiency

Stop focusing on data collection and start focusing on meaningful outreach.

Automatically delivering clean, curated data saves time and fuels care management and chronic condition management efforts.

Risk Management & Analytics icon
Better inform risk management and analytics

True data transparency informs actuarial insights to drive business and pricing decisions.

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Improve quality measures to maximize reimbursement

Engage more members with a complete member view.

Maximize scores across all quality reporting efforts – HEDIS scores, CAHPS measures, NCQA, etc.

Discover how clean and complete clinical data can help improve compliance, manage member costs, and improve member engagement.

Better Star Ratings for Medicare Advantage Plans

“If I could have real-time access to clinical data, it would fix so many things.”

Tonya Perry, Vice President of Care Management

We know that Star Ratings are a top priority for Medicare Advantage payers. Curated and enriched clinical data can help:

Curated and Enriched Clinical Data
  • Retain commercial plan members as they age into MA
  • Identify clinical gaps in real time to take action on at-risk members
  • Create full pictures of encounters that aid in risk adjustment
  • Maximize Accountable Care Continuum impact

We’re currently offering a no-risk Tailored Medicare Advantage Data Gap Assessment to help you identify your clinical data gaps, including many of the key CMS quality measures, to improve your Star Ratings and member experience.

Target your most valuable use cases

We help payers focus on the conditions that drive the most impact for quality measures and reimbursements.

Preventative Care

Medication Management
Special Needs Plans
Treatment Medication Analysis

Chronic condition management

Blood Pressure
Weight Management
Mental Health

“Successful deployment of a comprehensive health data curation and enrichment hub, like Verinovum, is a foundational component of the real-time health system, conducting digital healthcare, and the ability to execute population health and community care management.”

Gartner Hype Cycle for U.S. Healthcare Payers, August 2020

Let’s discuss your business’s most pressing data-related challenges.