athenahealth for health plans
Bend in cost curve*
(for Population Health clients)
Savings per beneficiary
(MSSP avg: $61)
increase in network retention
Connect and collaborate with our network of providers
By connecting your health plan to our network of 80,000 providers, you get access to a shared 360-degree view of your members that allows you to manage costs for ACOs and at-risk populations, optimize risk adjustment for Medicare and commercial risk, improve quality scores in STARs, open new revenue opportunities, and drive quality outcomes through co-care management with providers.
Partnering to drive healthier populations
Our proven EMR-agnostic population health management service aggregates clinical and claims data and provides both payer and provider with a consolidated view of patients, quality programs, and risk breakdowns. By facilitating co-care management, streamlined quality reconciliation, and member engagements services, we help improve transparency and build trust between providers and payers.
As a result, payers connected to the athenahealth provider network see improved results in quality measures, decreased total cost of care, and increased in-network retention and member satisfaction.athenahealth even takes on costly, time-consuming tasks for you:
- Member data aggregation
- HCC coding optimization
- Customized member outreach
- Streamlined quality reconciliation
- Co-care management enablement
- Risk stratification & severity analytics
- Care gap communication
* Bend in medical cost is the relative difference between spending growth by athena clients and the CPI
Contact one of our experts to learn how athenahealth is uniquely positioned to drive results for health plans.
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Please feel free to give us a call at 800.981.5084.