Problem
Endeavor Health faced challenges managing their cohort of Accountable Care Organization contracts and the associated patients related to compliance and quality metrics. Lack of insight and holistic view of data impacted their ability to support their ACOs and patient population.
- Complex contracts with differing standards for compliance and quality requirements
- Disparate data sources that resided across claims DB and Epic’s clinical systems
Solution
Seha developed a reporting platform that consolidated all claims data from various Payers as well as the Epic data stores to provide a comprehensive source of truth for population analytics.
Platform included an analytics dashboard for the ACO stakeholders that delivered detailed quality metrics and compliance scores to better manage the care team’s compliance goals.
- Provided more insight to identify and take action on any compliance issues
- Improved ACOs quality scores to meet contractual obligations
- Allowed leadership to better track and manage the ACO contracts
