HealthFocus can facilitate a shift to value-based care by using aggregated data to highlight health concerns and identify ways providers can use resources to overcome barriers, automate workflows and lessen the burden on providers.
Navigating the presented challenges requires a registry of patients, knowing which services have and have not yet been provided, and which services are covered by the payer. This involves the integration of various sources of data, intelligence to understand what to do with those data sources, and a clear, concise, compelling, and consistent dashboard that the PO staff can access. If reconciliation is required with the payer organization, the solution must be able first to determine that a conflict exists and then provide irrefutable justification that the service that should have been paid for was provided to the patient. HealthFocus does this for POs of all sizes and POs with single or multiple payers.