VIable

Recommendations

Info

NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation Care Improvement with Medicity ® Services Organization Overview • Aetna is committed to providing individuals, employers, health care professionals, producers and others with innovative benefits, products, and services • Medicity, an Aetna company, is a leading provider of network-enabled population health, connecting thousands of facilities through over 100 health information networks and processing 5 billion clinical transactions per year Background As healthcare organizations shift their focus to population health management, providers are becoming more responsible in overseeing the total spectrum of a patient’s care, regardless of where the patient chooses to receive his or her care. However, research shows that a large portion of patient care moves out of network, which hinders providers’ ability to improve outcomes and also increases costs. Medicity offers a range of health management solutions that are designed for the evolving healthcare landscape. These services improve data access and sharing across care settings, enable patient monitoring, and offer analytics for clinical and operational efficiency. Two products focused on improving care coordination and network utilization are: • SmartNetworks • CareTransitions Product Details SmartNetworks SmartNetworks is a robust web-based application that uses data analytics and powerful visualization to give providers insight into referral activities. With the analytic pathways offered by the application, providers can: • Track and monitor the causes of out-of-network care (“leakage”) • Understand which clinicians are sending patients out of network and where those patients are going • Identify opportunities to improve in-network care coordination, offer services, and reduce costs CareTransitions CareTransitions is a cloud-based tool that gives healthcare organizations a simple way to track, follow up, and improve on transitions in care. This is accomplished by integrating patients’ clinical data with longitudinal patient data about admissions, discharges, and transfers. Key features include: • Network Management & Smart Templates: Enables referral coordinators to create rules and preferences for network usage, in order to match patients with the right care providers An Initiative of the 45 | Care Improvement with Medicity ® Services
NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation • Network Management: Helps referral coordinators to refer patients to appropriate high-value providers at the top of their benefit plan • Provider Directory: Searches for appropriate providers using the rules from Smart Templates • Actionable Worklists and Notifications: Tracks pending transitions and creates notifications for those requiring follow-up • Reporting: Provides statistics around number, type, efficiency, and effectiveness of care transitions Value Delivered Both SmartNetworks and CareTransitions deliver value to the healthcare system by helping providers: • Improve patient retention to enhance care coordination • Recapture revenue for the system • Enhance timeliness of referrals and care transitions by eliminating manual processes Path Forward As the shift to value-based care continues, Medicity will continue to promote these products that increase providers’ operational efficiency and ultimately improve the quality of care for their patients. • Reduce the resources used to track referrals and care transitions, improving operational efficiency Care Improvement with Medicity ® Services | 46
Page 1: VIable Solutions Private Sector Pro
Page 4 and 5: Contents Foreword .................
Page 6 and 7: Foreword The U.S. healthcare indust
Page 9 and 10: Section 1 Collaborations to Enable
Page 11 and 12: NDHI NAT IONAL DIALOGUE FOR Healthc
Page 47: NDHI NAT IONAL DIALOGUE FOR Healthc
Page 93: NDHI NAT IONAL DIALOGUE FOR Healthc
Page 99 and 100: Section 3 Policy Reform to Shape th
Page 101 and 102:
NDHI NAT IONAL DIALOGUE FOR Healthc
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113:
Page 116:
show all

VIable

Create successful ePaper yourself

Delete template?

Save as template?