Population Health

Drive key PHM initiatives online.

Make it easy to take action

Robust quality care programs and coordinated provider-facing initiatives to improve health outcomes have become standard operations for a health plan.  Providers and members play critical roles in improving performance and it’s important to extend tools that make taking action easy.

Smart Metrix offers a set of features for providers and members to keep them informed and to take next steps towards care gap closure through tools and transactions right within the portal.  Because knowledge carries more power when you can act on it.

Make it easy to identify and close gaps in care

Our interactive Provider Scorecard drives improvements in care quality, cost and value-based payment transformation. Leverage role-based security to manage access at the medical group, clinic and individual provider level. View overall performance or drill into the detailed measures, analyzing historical trends, peer benchmarking and performance compared to targets at each level.

Seamlessly tie measures to the portal transactions – claim or authorization submission, assessment forms, documentation uploads, and more – making it easy to work through the gaps rather than just view them.

Automate care alerts with real-time data

Smart Metrix combines real-time data connections such as Admit/Discharge/Transfer (ADT) feeds and APIs to deliver automated communications to members, providers and the extended care team.  From on-screen alerts and mobile push notifications to secure messages, email and text – outbound communications are based on the end user’s preferences and the need to keep PHI secure.

“For the first time, I know when one of my patients has an important event. I get the info I need to follow-up immediately.”