In today’s value-based care environment, payers need access to advanced predictive analytics to effectively work with post-acute providers. WellSky analytics solutions for payers help you connect directly with providers and gain insight into real-time patient care. Optimize patient outcomes, drive savings, and enhance your post-acute relationships with WellSky.
Discover how you can partner with providers
Real-time population insights
CareInsights delivers a growing suite of insights that identify member-level changes in real-time, enabling payers to intercept potentially adverse outcomes, while also improving member satisfaction and optimizing post-acute spend. WellSky’s analytics reduces the administrative burden of concurrent review and also provides groundbreaking visibility into continuous patient information. This doesn’t simply enhance care management at your health plan — it fundamentally changes it from reactive to proactive.
CareInsights is currently available for home health, personal care, and hospice settings and includes the following analytics capabilities:
Hospitalization Risk Predictions | Care Setting Suitability | Utilization Insights | Patient Progress | Social Support Needs
Referral optimization insights
Gain access to analytics that go beyond Medicare Star Ratings and provider performance averages to identify optimal provider matches and care settings at the member level. Our technology analyzes which providers have the best outcomes for particular patient cohorts, and provides “best match” recommendations for patient placement, providing you with critical decision support for the prior authorization process.
Provider network analytics
With WellSky’s analytics, you gain insights and automation that empower you to manage risk-based relationships with your post-acute network at scale. Benefit from real-time network provider performance analytics and rankings for quality, efficiency and hospitalization risk and rates. WellSky also reduces manual reporting barriers to help better align incentives and direct your provider-facing contracting teams to health providers that are ready to deliver care.
Intelligent technology built for your success
Connected network
We bring real-time network access through WellSky’s FHIR-based technology platform connecting our 12,000 in-home and community care providers with health systems and payers.
Precise risk stratification
Highly tuned machine-learning models trained on 7 million patients enable continuous real-time stratification of members in WellSky post-acute settings.
Resource prioritization
Care management teams can confidently prioritize where to apply limited resources to oversight and intervention for high or rising risk members.
Next-generation intelligence for value-based success
Extend the power of WellSky CareInsights
