Insights Driven By Continuous Flow of Information
Successful value-based care programs require access to continuously actionable insights driven by end-to-end visibility. The continuous flow of information driven through the Enlace Health™ ecosystem is combined with ongoing VBC guidance, and together, these resources create the foundation needed for confident, data-driven decision making.
Insights Driven By Continuous Flow of Information
Successful value-based care programs require access to continuously actionable insights driven by end-to-end visibility. The continuous flow of information driven through the Enlace Health™ ecosystem is combined with ongoing VBC guidance, and together, these resources create the foundation needed for confident, data-driven decision making.
Technology
All the data that is needed to create the right strategy to transform from volume to value is already abundantly available. The trick is harnessing the necessary insights from it.
The Enlace™ Episode Advantage organizes and aggregates information to reveal where opportunities exists to improve pricing and quality. We score potential areas of improvement and highlight the greatest opportunities available.
Data has little meaning without context. Whether you are looking for insights related to an episode, a provider group, or by facility, the Episode Advantage provides the context needed to answer complex questions and determine the impact of your value-based care initiative.
As you continue to move to a value-based care ecosystem you will need to be prepared to skillfully manage clinical and financial risk.
The Enlace™ Episode Workbench allows you to run standard methodologies, modify standard methodologies, or develop completely custom episodes of care. This gives you the insight of how your payment policies will impact your business financials and performance outcomes.
These data-backed insights provides the ability to project the savings that are available for each episode of care and drill down even further to focus on specific populations.
Creating a value-based care culture means having the ability to view the complete picture of their program.
Enlace™ Network Configurator drills into specific areas of each opportunity to provide cost savings insights. Once there is a clear, data-driven value-based care foundation, you can use the Network Configurator to make confident decisions around the terms of your contracts.
The Network Configurator empowers you to launch the right initiatives at the right time, ensuring continuous improvement across the care continuum.
Enlace Health™ BBM Claims Manager alleviates the administrative burden of VBC payments. Enlace™ understands that each client has a different entry point into the VBC space. Our BBM Claims Manager™ platform scales to fit any model. Enlace enables our clients to manage and adjudicate multiple value-based contracted programs.
The power comes from integration with payer systems and detailed tracking of programs and members from initiation through episode ending.
With the BBM Claims Manager, clients also gain the guidance and support needed to more efficiently disburse funds to the appropriate contracted entities. VBC payments are generated and submitted on a timed or event-based cadence, and continuously monitored in a client-facing dashboard that monitors each value-based program and its performance.
Whether you are looking at the broader value-based care program or a specific data point, our powerful reporting tool has the flexibility to provide actionable data to ensure your program’s success.
The Enlace™ Reporting Monitor assesses ongoing performance and the growth of value-based initiatives. Once an episode is live, this tracking and reconciliation solution monitors and regularly reports retrospective data that enables you to finalize key parameters for a contracted program.
Gain in-depth insights into specialty healthcare spend across all categories – including total specialty and episode specifics within your total provider landscape.
Drive savings through increased speed to best-in-class care pathway, while decreasing unnecessary visits, episodes, and associated costs.
Network Services
Support & Guidance
The Enlace Health™ Network Services team actively engages and builds any provider-contracted episode foundation by recruiting and maintaining providers’ relationships on behalf of the payer throughout the lifecycle of the contract. By recruiting in high-value provider groups, guiding the adoption of episode payments, and working with providers to reconcile payments, Enlace Health’s Network Services deepens existing relationships and helps build new ones.
The Enlace Health Network Services team has decades of industry experience in value-based care, negotiations, project management, training, and strategy development. The group works to quickly implement programs on behalf of payers. Leveraging their in-depth expertise, Enlace Health also collaborates with payers and other risk bearing entities on strategic value-based initiatives from short-term to five-year plans and trains teams to better understand value-based care contracting so the programs continue to grow.
Enduring the limitations of the current healthcare fee-for-service system, the Enlace leadership is driven by its desire to empower payers, providers, and patients to achieve greater quality of care at lower cost through a truly connected infrastructure. The company’s deep roots and knowledge in all aspects of healthcare provide the foundation for the only end-to-end solution in the industry – the value-based care infrastructure powered by Enlace Health™.
Value-based care is a complex, ever-changing environment within healthcare. Enlace understands the need to combine a powerful platform with industry expertise – one must compliment the other. Our guidance is a constant for every partner, proactively analyzing and anticipating all areas of the complex value-based care world. From initial conversations to expanded programs and delivery models, value-based care insights are always a click away at Ask Enlace.