Boston Medical Center HealthNet Plan Chooses MedeAnalytics to Optimize Medicaid Performance Management
Medicaid health plan in Massachusetts adds robust analytics platform to improve financial, operational and clinical outcomes
Emeryville, Calif. – (March 11, 2014) – MedeAnalytics® today announced that Boston Medical Center HealthNet Plan (BMCHP), a non-profit managed care organization committed to providing the highest quality healthcare coverage to underserved populations, selected MedeAnalytics to implement its cloud-based technology platform to optimize care management activities for over 300,000 members, identifying gaps in care and tracking cost savings opportunities.
MedeAnalytics’ Medicaid Management solution enables payers like BMCHP to solve medical and provider network challenges they face in providing vulnerable populations access to care. By integrating the Medicaid Management solution into their care processes, BMCHP will be able to efficiently identify and stratify care for specific, at-risk patient groups. They will also leverage the solutions’ advanced analytics capabilities to monitor emerging trends, allowing them to proactively adapt and modify procedures to minimize costs.
“We are committed to providing the highest quality healthcare coverage to the traditionally underserved populations of Massachusetts and New Hampshire ” said Lisa Feingold, Vice President of Clinical Informatics at BMCHP. “In the wake of reform and the ever-evolving healthcare landscape, our care management team, as well as our provider partners, need a robust analytics solution that can be quickly implemented to support population health management. MedeAnalytics’ solution is a critical part of our efforts to improve the health of our members, improve the experience of care and reduce the cost of health care.”
Over the coming months, BMCHP will roll out the Medicaid Management solution for all its beneficiaries across Massachusetts and New Hampshire in order to provide a more centralized, robust view of care delivery, costs and quality. The go-live date is slated for May 2014.
“Given the complex healthcare needs of low-income and at-risk patients, Medicaid managed care plans need to run incredibly efficient operations,” said Andrew Hurd, MedeAnalytics Chairman and CEO. “BMCHP will leverage the MedeAnalytics platform to gain clear and actionable insights into cost, quality and risk, improving the way they care for the patients who need it most.”
BMCHP joins a long and prestigious group of Medicaid plans that are working with MedeAnalytics. MedeAnalytics’ robust solutions also empower hospitals and physician practices with the ability to ensure accountability and improve operational, clinical and financial outcomes. Due to its SaaS-based delivery model, time to value is under 90 days. For more details on health plan and provider success stories, please email MedeAnalytics@shiftcomm.com.
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MedeAnalytics provides evidence-based insights to solve a real problem that plagues healthcare – how to use the immense amount of patient data collected along the care continuum to deliver cost-effective care and promote a healthier population. Its analytics platform delivers intelligence that helps healthcare organizations detect their greatest areas of risk and identify opportunities to improve their financial health. It empowers providers and payers to collaborate and use data to strengthen their operations and improve the quality of care. MedeAnalytics’ cloud-based tools have been used to analyze more than 21 billion patient encounters in the United States and United Kingdom, providing better care to more than 30 million patients and better business for 900 healthcare organizations. For more information, visit www.medeanalytics.com.
About Boston Medical Center HealthNet Plan
Boston Medical Center founded Boston Medical Center Health Plan, Inc. in 1997 as a non-profit managed care organization doing business in Massachusetts as BMC HealthNet Plan. Outside Massachusetts the business name is Well Sense Health Plan. BMC HealthNet Plan, the managed care organization with the largest number of MassHealth and Commonwealth Care members in Massachusetts, is ranked in the top 10 among Medicaid plans in the nation according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Rankings 2013-2014. BMC HealthNet Plan also continues to maintain Excellent Accreditation from NCQA as a Medicaid health maintenance organization. In addition, BMCHP’s Qualified Health Plan program has been awarded “Accredited” status from NCQA, the highest accreditation level available at this time.