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Smashing Value-Based Care Analytics Bottlenecks: Scaling Actuarial Capabilities

In this blog post, we’ll dive into why data and actuarial analytics are crucial for value-based contracting (VBC), the common challenges providers face, and how our solutions can make a real difference.

Our team presented at AHIP 2024, a premier event in the healthcare industry that brings together thought leaders, innovators, and experts to discuss the future of health insurance and healthcare delivery. The discussions and insights we gathered at AHIP 2024 reinforced our mission at Accorded to enable a frictionless and sustainable value-based care system.

In this blog post, we’ll dive into why data and actuarial analytics are crucial for value-based contracting (VBC), the common challenges providers face, and how our solutions can make a real difference.

Don’t want to read? Download the presentation slides here

The Critical Role of Data in VBC Contracting

Data is the lifeblood of VBC contracting and is pivotal for the success of value-based care initiatives. Effective use of data helps healthcare providers and payers navigate the complexities of program implementation. Key data categories include:

  • Operational Data: Vital for identifying program cases, directing participants to appropriate care locations, and ensuring compliance with program requirements.
  • Provider Data: Essential for effective case management and delivering timely information to healthcare providers.
  • Financial Data: Crucial for assessing the outcomes of clinical programs or interventions and determining incentive amounts.

Top Challenges in Data Utilization

Providers rely on receiving timely, actionable data to make necessary adjustments in program interventions. However, delays and inconsistencies in data can hinder the adoption of VBC and potentially lead to program failure. Common issues include:

  • Time: Delays in data can impede VBC adoption, resulting in prolonged negotiations and frustration among stakeholders.
  • Consistency: Inconsistent data and outdated tools can lead to calculation errors and misaligned program goals.
  • Relevance: Outdated data tools and manual processes often result in errors and inefficiencies.

Breaking Down Bottlenecks with Technology

Accorded addresses these challenges in VBC by centralizing and automating the production of process and outcome measures. Our approach ensures:

  • Quick turnarounds: Routine production allows rapid development cycles and timely data updates.
  • Consistent & efficient: Centralized production ensures efficient and consistent application of updates across business applications. 
  • Resource optimization: By automating data engineering tasks, we free up actuarial and IT resources for more strategic activities.

Improvement Opportunities for Your Organization

Here’s a comparison of the status quo versus best-in-class performance with our technology:

The Accorded Advantage

By combining data engineering with actuarial knowledge, Accorded transforms VBC analytics, enabling healthcare organizations to operate more efficiently and effectively. Our technology ensures timely, consistent, and relevant information, helping you overcome the traditional bottlenecks in value-based care analytics.

Benefits

  • Built by Experts: Developed by experts with 100+ years of combined actuarial experience.
  • No New Tools to Learn: Integrate Acumen data tables into your data warehouse seamlessly.
  • Modular and Customizable: Implement only what you need, without a high 6-figure contract.
  • Immediate Time to Value: Go live with Acumen in less than 2 weeks. 

Meet with an expert and join forces with Accorded. 

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