WellSky® Real-Time Insights connects payers and providers, enabling a proactive and collaborative approach to care management. Gain insight into real-time data to identify at-risk members, determine care setting suitability, reduce the cost of care due to hospitalizations, and expand the reach of care management resources.
Enabling payers to revolutionize care management
Increase visibility into home-based care
Monitor the WellSky hospitalization risk model to identify members in need of intervention. In addition to providing comorbidity data to address chronic conditions, WellSky Real-Time Insights allows payers to account for each member’s social well-being with up-to-date information on nutrition, housing, and social support needs.
Reduce administrative burdens
Member care data is automatically updated as home-based care agencies capture clinical information within their EHR. This means your care management team gains real-time visibility into member data without having to upload documents.
Empower proactive collaboration
Set and receive customizable care management team alerts regarding missed visits, changes in member health, and more. These member-level health updates enable payers and providers to collaborate to proactively prevent adverse outcomes.
Drive savings
WellSky Real-Time Insights provides guidance into hospice care setting suitability. With this information, your team can help members receive the right care in the right setting, which can improve member satisfaction and reduce wasteful spending.
Helping payers transform healthcare
Improve care delivery efficiency
Real-time visibility into the status of member health allows care managers to prioritize member support and engagement, which helps mitigate risk.
Reduce healthcare costs
Reduce hospitalizations and help ensure members receive the best care in the right settings with real-time data and predictive models that identify member risk and hospice suitability.
Succeed in value-based care
Increase visibility into member data and engage with qualified providers to support, manage, and influence the delivery of care in value-based models.
Reduce rehospitalization rates from home health by 12%
Extend the power of WellSky Real-Time Insights
Analyze, monitor, and manage network performance with WellSky Network Insights. Payers can improve outcomes with insights into risk-adjusted performance, hospitalization and clinical improvement analytics, diagnosis-specific performance insights, and more.
Leverage the technology-enabled solutions in the WellSky Home Care Coordination platform to deploy and manage the delivery of care. With WellSky, payers can build integrated provider ecosystems to support Medicare Advantage supplemental benefit offerings, Medicaid LTSS, and alternative at-risk models of care at home.
WellSky Transitional Care Coordination improves payer-provider collaboration as members transition across settings of care. Our platform increases visibility into member and provider data, resulting in coordination and interventions that close care gaps, improve member outcomes, and reduce wasteful spending.
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