[{"innerBlocks":[],"name":"core\/freeform","postId":268,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"San Francisco-based Innovaccer has found a way to help Medicare Advantage plans close care gaps, while improving Star ratings, the company contends.Innovaccer\u2019s solution package for MA plans, launched a year ago, includes FHIR ready-APIs, point-of-care alerts, provider performance analytics and holistic patient-360 profiles, according to Kanav Hasija, co-founder and chief product officer at Innovaccer.Innovaccer developed the product because it saw that one of MA plans\u2019 biggest problems was that they didn\u2019t interact in the most efficient way with their in-network providers, Hasija says. Yet, to improve Star ratings and to improve care, collaboration is key. Most MA plans were meeting with physicians in the network every month, either by visiting in person, sending emails or by faxing\u2014all in \u201ca very cumbersome process,\u201d Hasija says of Innovaccer\u2019s industry assessment. This process did not help physicians remember the care goals for each patient. The reminders were too far apart and too hard to access.In addition, chart retrieval to audit for care gaps was time-consuming and costly for payers, he says. Paper chart retrieval costs anywhere from $35 to $40 per chart, Hasija says. Innovaccer\u2019s solution, which overlays on top of an EMR, enables health plans to talk in real-time to providers, highlighting care gaps and Star rating issues, without interrupting workflow, he says. Innovaccer\u2019s MA clients, who have asked not to share their names, include one of the largest regional players in the Midwest and one of the largest MA plans nationwide, according to Hasija. The MA plans that have tested Innovaccer\u2019s solution over the past year have closed care gaps two-to-three times faster than plans who didn\u2019t use Innovaccer\u2019s solution, Hasija says. Chart storage and retrieval on the system, now digital and not manual, has allowed for analytics and has lowered the cost of chart retrieval dramatically. Digital chart retrieval costs $1 to $2 per chart. \u201cThey are loving it so far,\u201d he says of MA plans. The product is also helping to improve Star ratings. Recently, Innovaccer assisted a leading Puerto Rico- based healthcare IT company to enhance the Star rating of its MA plans by integrating disparate data sources and streamlining efforts to close gaps in care. The company tracked gaps in the network involving 15,000 members, prioritizing those that lacked annual wellness visits. As a result, Star ratings improved from 3.5 to 4.5, Hasija says.In the near future, Innovaccer plans to add prompts for patients into the system, to tell them what to discuss with their doctors. \u201cWe have told doctors what to look for, why not tell patients what to talk to their doctors about?\u201d Hasija says. \u201cWe want to engage patients, as well. If the doctors forget something, then the patient knows what to bring up.\u201d\u201cU.S. healthcare is progressing in its value-based initiatives, and the increased focus on delivering holistic patient-centered care is a clear sign of that transformation,\u201d Hasija says. \u201cPatients have become enlightened, and they are making choices that offer them more services. The organizations that are able to offer more services and satisfaction are likely to succeed in the long run.\u201d

ImageAbhinav Shashank, CEO at Innovaccer, says value-based care is the way forward in healthcare. \u201cEvery little insight we have could prove extremely instrumental in improving overall outcomes,\u201d he says. \u201cWe have to extract full value out of healthcare data for it to mean something." CMS recently released its Value-based Insurance Design (VBID) model for CY2020, which will focus on lowering costs, boosting the quality of care and enhancing the efficiency of care delivery, Shashank says. These new regulations and beneficiaries\u2019 inclination to MA plans makes it inevitable for payers to adopt methods to drive smarter clinical interventions.","saveContent":"San Francisco-based Innovaccer has found a way to help Medicare Advantage plans close care gaps, while improving Star ratings, the company contends.Innovaccer\u2019s solution package for MA plans, launched a year ago, includes FHIR ready-APIs, point-of-care alerts, provider performance analytics and holistic patient-360 profiles, according to Kanav Hasija, co-founder and chief product officer at Innovaccer.Innovaccer developed the product because it saw that one of MA plans\u2019 biggest problems was that they didn\u2019t interact in the most efficient way with their in-network providers, Hasija says. Yet, to improve Star ratings and to improve care, collaboration is key. Most MA plans were meeting with physicians in the network every month, either by visiting in person, sending emails or by faxing\u2014all in \u201ca very cumbersome process,\u201d Hasija says of Innovaccer\u2019s industry assessment. This process did not help physicians remember the care goals for each patient. The reminders were too far apart and too hard to access.In addition, chart retrieval to audit for care gaps was time-consuming and costly for payers, he says. Paper chart retrieval costs anywhere from $35 to $40 per chart, Hasija says. Innovaccer\u2019s solution, which overlays on top of an EMR, enables health plans to talk in real-time to providers, highlighting care gaps and Star rating issues, without interrupting workflow, he says. Innovaccer\u2019s MA clients, who have asked not to share their names, include one of the largest regional players in the Midwest and one of the largest MA plans nationwide, according to Hasija. The MA plans that have tested Innovaccer\u2019s solution over the past year have closed care gaps two-to-three times faster than plans who didn\u2019t use Innovaccer\u2019s solution, Hasija says. Chart storage and retrieval on the system, now digital and not manual, has allowed for analytics and has lowered the cost of chart retrieval dramatically. Digital chart retrieval costs $1 to $2 per chart. \u201cThey are loving it so far,\u201d he says of MA plans. The product is also helping to improve Star ratings. Recently, Innovaccer assisted a leading Puerto Rico- based healthcare IT company to enhance the Star rating of its MA plans by integrating disparate data sources and streamlining efforts to close gaps in care. The company tracked gaps in the network involving 15,000 members, prioritizing those that lacked annual wellness visits. As a result, Star ratings improved from 3.5 to 4.5, Hasija says.In the near future, Innovaccer plans to add prompts for patients into the system, to tell them what to discuss with their doctors. \u201cWe have told doctors what to look for, why not tell patients what to talk to their doctors about?\u201d Hasija says. \u201cWe want to engage patients, as well. If the doctors forget something, then the patient knows what to bring up.\u201d\u201cU.S. healthcare is progressing in its value-based initiatives, and the increased focus on delivering holistic patient-centered care is a clear sign of that transformation,\u201d Hasija says. \u201cPatients have become enlightened, and they are making choices that offer them more services. The organizations that are able to offer more services and satisfaction are likely to succeed in the long run.\u201d

Innovaccer’s real-time insights for MA plans help close care gaps

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