Identify Savings Opportunities

Clinigence helps you see what's driving the cost of care of a population from a diagnostic perspective. You can then prioritize your resources and direct your interventions and programs accordingly. You can also see a breakdown of cost by place of service and provider specialty - either across your entire population or by selecting a subpopulation by any condition.

Clinigence helps you see complications by type, specialty, and provider. You can then help individual providers see the need to improve quality. You can also easily equip them with the information necessary for them to move towards preventing complications by discussing specific complication cases.

Clinigence helps you see how well each practice or individual provider is performing overall, in specific areas, such as cost, utilization, quality, prevention, etc., and on specific performance indicators. You can rank peers based on their scores. But before you share such ranking with them you'd better take a close look at their respective patient risk profiles. Underperformers will be quick to claim that their patients are sicker. Clinigence equips you with each provider's risk score so that you can effectively address such claims.

Clinigence helps you quickly see the full picture of each patient. The Patient Summary Dashboard includes:

A breakdown of cost by provider, place of service, provider type, and specialty. A breakdown of claims by primary diagnosis. All procedures and their costs. All hospital revenue codes.

You can use personal health indicators to engage patients in their health. Clinigence provides you with a quick view of the patient's clinical markers and their predicted impact on future service utilization. For example, sharing with a patient the probability of her hospitalization in the next 6 or 12 months can help make her see the need to move forward with her care plan.

In addition to checking in directly with the patient, Clinigence helps you track their compliance with care plans. For example, you can monitor patient adherence to prescriptions by looking at their refill patterns for all medications (see screenshot). Similarly, you always have access to comprehensive care gap reports.

Clinigence helps you quickly see how different providers in your community perform relative to their peers. You can compare hospitals, skilled nursing facilities (SNFs), home health agencies, specialists, etc. Clinigence reveals both cost and quality performance indicators, such as average length of stay (ALOS), average admission cost ("paid/admit"), etc. You can also see how each provider is trending on any of these indicators.

Using the comparative effectiveness reports you can define and build a more efficient provider network. You can then share this information with your primary care providers (PCPs) to move referrals towards "in-network" providers.

In addition to checking in directly with the patient, Clinigence helps you track their compliance with care plans. For example, you can monitor patient adherence to prescriptions by looking at their refill patterns for all medications (see screenshot). Similarly, you always have access to comprehensive care gap reports.