Vertedge’s intuitive, workflow-based analytics platform enables non-technical users to extract valuable insights for use-cases that matter, providing purpose-built data and visualizations to identify the root causes of elevated costs, unnecessary utilization, and other areas of untapped value… all within a matter of minutes.
Vertedge provides a full suite of user-friendly and intuitive data analytics solutions that transform how your team utilizes data to drive performance improvements. With ready-made and dynamic reports, you can access situation-specific insights instantly from a centralized view.
Uncover multi-order referral patterns to expose hidden insights into areas within your network where care and revenue are leaking to unaffiliated PCPs or redundant providers.
Expose real-time gaps in Hierarchical Condition Category (HCC) risk coding for potentially missing and/or emerging codes within your attributed population to pinpoint specific beneficiaries and cohorts for targeted remediation
Leverage AI/ML and advanced predictive analytics to understand the HCC risk trajectory of your beneficiary population to enable more informed benchmarking and resource allocation decision-making.
Evaluate the performance of healthcare providers and/or provider groups by analyzing user-defined quality and utilization metrics, together with beneficiary attribution risk reports based on PCPs for network optimization.
Monitor population health patterns to uncover hidden cohorts with high-propensity or otherwise disproportionate utilization to deliver better care for underserved populations.
Quickly identify the most eligible candidates within your contracted network for programs, including GUIDE, palliative, and hospice care to provide patients with more cost-effective and elevated post-acute care journeys
Uncover multi-order referral patterns to expose hidden insights into areas within your network where care and revenue are leaking to unaffiliated PCPs or redundant providers.
Expose real-time gaps in Hierarchical Condition Category (HCC) risk coding for potentially missing and/or emerging codes within your attributed population to pinpoint specific beneficiaries and cohorts for targeted remediation
Leverage AI/ML and advanced predictive analytics to understand the HCC risk trajectory of your beneficiary population to enable more informed benchmarking and resource allocation decision-making.
Evaluate the performance of healthcare providers and/or provider groups by analyzing user-defined quality and utilization metrics, together with beneficiary attribution risk reports based on PCPs for network optimization.
Monitor population health patterns to uncover hidden cohorts with high-propensity or otherwise disproportionate utilization to deliver better care for underserved populations.
Quickly identify the most eligible candidates within your contracted network for programs, including GUIDE, palliative, and hospice care to provide patients with more cost-effective and elevated post-acute care journeys
Integrate through multiple APIs and export Vertedge insights to other business intelligence platforms and/or directly to CSV files.
Aggregate ACO, commercial plan, and Medicare Advantage plan data in one centralized location to analyze your network holistically.
Receive instant insights into multiple dimensions of network performance with continuous updating as new data is processed.
Leverage Vertedge insights and support to quickly initiate remediation campaigns and capture available opportunities for performance improvement.
Enjoy a streamlined and substantially hands-off process, supported by training from our dedicated customer success team.
Leverage a seamless connection to continuously deliver your most recent claims data to Vertedge via CMS’ Beneficiary Claims Data API (BCDA) or other claims APIs.
Secure remote Vertedge support for ad hoc and custom insight requests to meet your changing business requirements.
Maximize your shared savings dollars with straightforward pricing.
Analyze your organization’s performance to find cohorts or providers in most need of intervention.
Close risk coding gaps within your membership to drive performance improvements.
Uncover population health trends and utilization metrics for more favorable contracting and improved beneficiary experiences.
Rapidly identify the most eligible candidates within your population for post-acute programs.
