Faster and Better Clinical and Claims Integration

Connect with your providers seamlessly with Datashop to bring clinical, claims and administrative data together and maximize your auditing capabilities for commercial, Medicaid, and Medicare claims.

Population Health Management

Achieve better efficiency and cost savings with Datashop’s continuous, complete and accurate documentation that enables earlier detection of medical conditions, sharing real-time information, and addressing care gaps, leading to better population outcomes.

PHM
Health Plan
Network & Cost Optimization Analytics

Design and implement financial interventions with Datshop to plug leakages and improve outcomes. Project trends, learn about risks and opportunities and proactively monitor your network’s financial and operational performance.

Health Plan Regulatory Reporting

Datashop’s health plan solutions assist healthcare organizations with data optimization for performance assessment and regulatory compliance using industry standard metrics like HEDIS, P4P, Star Ratings, etc.


HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Operational Efficiency and Performance Management

Customize and automate your workflows, monitor performance trends, resolve issues, and analyze long-standing processes and their outcomes to measure success and keep quality consistent with Datashop.

Care Management

Expand access to coordinated healthcare to reduce costs and manage reimbursement risks via Datashop’s AI assisted Care Coordination facilitating integrated records, optimization, evidence-based guidelines, and targeted preemptive interventions.

Care Management
Provider Engagement
Provider Engagement

Gather data-driven insights with Datashop to enagage physicians, profile provider performance, identify outliers and motivate providers to align their goals and make collaborative efforts to produce the best beneficiary outcomes.

Risk Stratification

Leverage Datashop’s predictive analytics to identify beneficiaries with immediate risks, chronic conditions, or comorbidities and reform payments, design programs to specifically target beneficiaries and engage them in the management of their own health.

Evolving Healthcare’s Enterprise
Payer Platform

Faster Data Integration

Integrate claims and clinical data to identify gaps and optimize administrative costs with enhanced quality of care

Enhance Network Performance

Analyze financial impacts and manage clinical variations to align with best practices

Holistic Care Management

Pinpoint and address unnecessary or inappropriate medical costs to improve network utilization

Advanced Population Health Management

Integrated member services and comprehensive care management for holistic care delivery

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