Health system – vital functions
Cost: HealthFocus cleans, condenses, and categorizes insurance claims to highlight the cost of patient care. Risk-adjusted allocation allows for continuous review of targets and categorical expenses. HealthFocus allows you to review financial reports for all your insurance products in one location and identify leakage, high-cost facilities, and other opportunities to reduce the cost of care.
Provision of resources: HealthFocus helps highlight opportunities for allocating resources to programs and interventions that impact health outcomes on a population level.
Consistency: HealthFocus provides consolidated insights within an actionable time frame using a format that is easy to understand. Providing a clear and complete picture of patient care helps reduce administrative burden and allows for more informed, consistent decision-making from the provider.
Chronic illness: HealthFocus helps identify eligible and high-risk patients for proper care management. Risk scores are captured across health systems and calculated within our warehouse. We can also track social needs and internal referrals to community resources.
Health Plan Integration
HealthFocus facilitates the exchange of information between health plans and providers. We work closely with insurance companies and other stakeholders to ensure accurate bi-directional data feeds. HealthFocus directly analyzes claims, membership, risk, diagnosis, and treatment opportunities from insurers. Information gathered from a patient’s medical record can also be securely sent back to incentive programs to close gaps in care.
Michigan Health Information Network
We are proud to support the work of the Michigan Health Information Network. We actively engage in use cases and pilot activities on behalf of all our member organizations. From state-wide ADTs and labs to the PPQC supplemental data exchange, MiHIN is critical in ensuring health information is safely and securely transferred to necessary recipients.