MCheck™ VBC can be deployed upstream within source data systems in healthcare operations, such as membership, providers, claims or downstream within VBC processes, such as attribution, benchmarking, and measurement or ideally in both.
As an increased proportion of payer revenues are being attributed to value-based care arrangements, it is critical that patients are attributed to the appropriate provider(s). Our platform eliminates all attribution errors and ensures dependent processes in workflows are accurate so that payers and the entire healthcare system benefits from reduced administrative cost.
Strong collaboration between payers and providers is the foundation for robust and mutually beneficial value-based care programs. By using predictive modeling, machine-learning driven business intelligence platforms and proactive data quality monitoring, our product suite for value-based care helps payers build strong relationships with providers so they feel empowered to provide the best care to their patients.
We believe our product truly addresses the need for proactive data monitoring and root cause analysis for errors in value-based care workflows. Unlike traditional tools, it captures errors which cannot simply be detected using deterministic methods. It has enabled our customers to proactively identify and fix errors with no impact to benchmarking and provider reimbursement. Our team of experts includes experienced professionals with cross-functional skills: Physicians who practice at some of the best medical institutions in the country, Data Scientists who are as adept at building machine learning models as they are at doing painstaking research into medical literature to ensure their models are valid, Technology Experts who ensure our platforms are scalable and adaptive to serve the needs of a variety of customers, Healthcare Consultants and Operations’ Professionals who provide subject matter expertise and work with customers. This combination enables us to truly consider problems from multiple perspectives and design robust solutions.