Question: Do you know of any analytics platform that helps health plans manage member risk and improve quality of care?

If you're looking for an analytics platform to help health plans assess member risk and quality of care, Inovalon is a good all-purpose option. The cloud-based system combines sophisticated analytics and business intelligence tools to help health plans improve the quality of care and outcomes for members through risk score accuracy, quality measurement and patient engagement tools. It also helps providers with revenue cycle management, care quality management and workforce management, and pharmacies with automated processing and electronic decision support.

Another option is Cotiviti, a healthcare analytics system that combines big data clinical and financial data with technology and expertise. It offers modules for Payment Accuracy, Risk Adjustment, Quality and Performance, Consumer Engagement and Retail Solutions. The tools are designed to help health care organizations find cost savings, improve financial performance and deliver better health outcomes by ensuring payment integrity and driving better quality and performance.

Veradigm also offers data-driven tools for health plans and payers, including Risk Adjustment Analytics & Reporting, Quality Analytics and Data Submissions & Reconciliation. It also offers practice management and electronic prescribing tools for health care providers. Veradigm's platform uses AI and advanced analytics to produce insights that can help improve patient outcomes and streamline health care operations.

For employers and health plans trying to improve member care while cutting costs, Amino Health offers a data-driven healthcare navigation platform. It integrates existing health solutions and steers members to the right benefits, offering powerful provider search, cost and quality ratings and customizable provider tags. With its intuitive interface and strong security, Amino Health empowers informed decision-making and better health outcomes for its users.