Value Based Care Provider Analytics

Value-Based Care Analytics Solution Implementation In the evolving landscape of healthcare, Value-Based Care (VBC) prioritizes quality outcomes and cost control over the traditional fee-for-service model. Providers require robust analytics solutions to drive success in VBC models when taking on global or partial risk for patients. At EXL, we help healthcare providers harness the power of data, AI, and cloud technologies to succeed in their VBC initiatives. EXL offers a comprehensive solution to build the end-to-end analytics capability needed to improve clinical outcomes, manage costs, and enhance care coordination effectively. How It Works: Our Value Based Care SMEs engages with the key stakeholders in your environment to gain an understanding of your current data analytics capabilities, business objectives, and challenges. We accelerate it by bringing in a baseline set of KPIs, definitions, wireframes, demos to build on top of something instead of work grounds-up. We present a scope of the solution, detailed timelines, and effort estimates around the implementation. EXL is also willing to engage in milestone-based approach to minimize the risk of cost escalations. The solution is delivered to the client in their [Microsoft Azure] tenant which translates into greater control and ability to customize the solution to meet the needs of organization.

1. Foundational Data Architecture and Integration o Data Platform Setup: Establish a robust data infrastructure, modernizing and scaling your systems with platforms like [Microsoft Azure Fabric], Azure Databricks or Snowflake to support advanced analytics. o Data Integration and ETL Pipelines: Develop seamless integration of diverse data sources, including EMRs, claims data, eligibility data, and SDOH (Social Determinants of Health), to create a centralized data repository for patient information. EXL has experience building the pipelines using [Azure Data Factory], Azure Databricks, as well as other Azure hosted ETL/ELT solutions. o Master Data Management (MDM): Implement MDM to maintain data consistency, ensuring a single source of truth for clinical and operational data. We use [Microsoft Purview] or Azure Databricks to build this.

2. Analytics for Cost and Performance Management o Cost Analytics Framework: Design dashboards and reports to monitor cost trends, identify inefficiencies, and highlight cost-saving opportunities. o Provider and Referral Optimization: Build analytics to track and optimize referrals and addressing revenue leakages. o Benchmarking and Performance Metrics: Define KPIs and benchmarks for continuous performance monitoring across provider groups, integrating comparative analysis for actionable insights.

3. Care Coordination and Population Health Management Tools o Post-Discharge and High-Cost Patient Analytics: Develop predictive models to identify patients at high risk of readmission and facilitate timely interventions. o Population Health Analytics: Create tools to manage chronic conditions, track gap closures, and enhance patient engagement for high-impact outcomes in population health. o Patient Segmentation and Risk Stratification: Enable segmentation models to support targeted care plans and resource allocation based on risk profiles and utilization.

4. Advanced Analytics and Data Self-service o AI-Driven Predictive Analytics: Integrate predictive modeling to improve patient outcomes, anticipate care needs, and enhance patient engagement. Deploy custom ML models for VBC-specific metrics, like admission risk, chronic care management, and cost prediction, ensuring evidence-based decision-making. o Data Self-service: Build data marts to enable data self-service for your teams using tools like Databricks Genie, minimizing dependencies on IT support teams.

5. Customized Dashboards and KPI Reporting o Executive/Operational Dashboards and KPIs: Develop executive/operational dashboards with customizable KPIs, allowing leadership, clinic managers and physicians to measure and track key performance metrics, utilization, and patient satisfaction. o Real-Time Reporting and Analytics: Enable real-time insights for rapid decision-making, utilizing interactive dashboards and drill-down capabilities. o Patient 360 Analytics: Provide comprehensive views of patient journeys across episodes of care, including cost, utilization, and outcomes, to support VBC objectives.

Why Choose Our Value-Based Care Analytics Solution? EXL team has experience in implementing data analytics programs to improve performance of value-based care across various provider groups. We bring together Microsoft Azure technologies in your environment to enable an optimized solution. EXL combines deep healthcare expertise and advanced analytics capabilities with a proven record of successful VBC implementations. Contact us today!