MedAssurant, Inc., a leading provider of data-driven healthcare solutions, today announced that Healthcare Partners, IPA (HCPIPA), one of the largest physician-owned independent physician associations (IPA) in the Northeast, has selected MedAssurant's Prospective Advantage® and Capitated Risk Adjustment (CARA™) solutions to proactively identify gaps in care and quality to improve clinical documentation, utilization and risk score accuracy for their Medicare Advantage members.
MedAssurant's Prospective Advantage combines advanced healthcare data analytics with coordinated patient and provider encounter facilitation and support to deliver an integrated solution for identifying and proactively closing gaps in quality, care, assessment and documentation. Analytics bring meaningful intelligence to all forms of outreach and intervention – from print materials and call center outreach, to web-enabled decision support platforms and wireless tablets for in-home member assessment optimization. Altogether, the highly data-driven approach achieves the "right intervention for the right member, in the right venue, at the right time," facilitating the realization of highly efficient impact.
CARA is a retrospective risk adjustment solution providing a clinically-driven approach to the efficient identification, determination and substantiation of disease and comorbid condition data. Advanced analytics leverage insight gained from extensive clinical datasets of more than 5.2 billion medical events to identify potential gaps in disease and comorbidity data accuracy. A highly integrated platform designed to coordinate both EMR and paper-based medical record data aggregation thereafter facilitates a highly efficient process of "filling in the gaps" through the targeted abstraction of both discrete and non-discrete clinical data. This process results in a more thorough understanding of each member and a more comprehensive risk score value to ensure significant improvement in healthcare data, quality insight and risk score accuracy.
"Healthcare Partners, IPA, remains committed to innovation in healthcare and its ability to improve care for our members," said Paul Alfaro, Executive Vice President of HCPIPA. "MedAssurant's Prospective Advantage and CARA will help us continue to better coordinate and manage the healthcare services provided to our members. We are excited to be entering this new partnership."
Keith Dunleavy, M.D., President and Chief Executive Officer of MedAssurant, said, "For some time now, the pressures being placed upon the healthcare community have been increasingly extending into provider organizations. Leveraging data analytics to bring advanced insight and support goals in quality, care and risk score accuracy provides a valuable edge in what is a complex landscape. Healthcare Partners, IPA, is known for their mission to be the Strongest Link to Quality Care for their members and network physicians, and we are honored to have this opportunity to work together with them."
About MedAssurant, Inc.
MedAssurant, Inc., is a leading technology-enabled healthcare solutions provider focused on the importance of healthcare data and its ability to drive dramatic, objective improvement in clinical and quality outcomes, care management and financial performance throughout the healthcare community.
Proprietary healthcare datasets, aggregation and analysis capabilities, combined with a national infrastructure of leading-edge technology, clinical prowess and deep human resources, empower MedAssurant's advanced generation of healthcare assessment and improvement through highly informed solutions. Driven by a mission to improve today's healthcare landscape, the employees of MedAssurant proudly apply care, ingenuity and dedication to delivering a new approach to healthcare touching more than 100 million Americans – one driven by data and insight – one resulting in meaningful action. Please visit www.medassurant.com for more information.
About Healthcare Partners, IPA
Healthcare Partners, IPA, has been active in the New York Metropolitan Area since 1996, and is now one of the largest physician-owned independent physician associations (IPA) in the Northeast. HCPIPA's delivery network includes nearly 4,000 physicians and other healthcare providers rendering services to our members throughout the greater NYC area. HCPIPA's success is due to its innovative leadership, which has been recognized within the healthcare industry.
In addition to ensuring that members receive all of the benefits of their health plan, HCPIPA assists its participating physicians with optimal management of their practices. Through HealthCare Partners, Management Services Organization, providers are offered a streamlined approach to utilization of specialty services. A contracted network of select referral physicians provides medical services for the majority of our health plan members.