The Payor Intelligence Layer.
Our development aim: Reveal hidden risk cohorts for proactive care and cost containment.
Preempt Costs
Stop low-acuity issues from becoming high-cost crises. Slash long-term MLRs and protect profits.
Retain Members Longer
Deliver better outcomes, fewer surprises. Cut churn and acquisition costs, stabilize risk pool.
Lead The Market
Own proactive outcomes and cost control.
Unlock Hidden Insights.
The basis of AHA’s intelligence is leveraging objective patient data.
Built on 10,000+ deterministic, evidence-based medical rules, AHA offers comprehensive, hierarchical interpretations of routine lab panels. Hidden insights impact lower admissions, readmissions, and penalties. They boost case mix, shared savings, and reimbursements in value-based contracts. Uncovering root causes fast also prevents complications, elevating HCAHPS, safety scores, and reputation. And AHA reduces clinician hours and burnout by eliminating diagnostic delays and accelerating care management.
We have designed our intelligence layer for immediate impact. Our algorithms feed directly into your current intelligence systems seamlessly via API in weeks not
months.
Unlock Hidden Insights.
The basis of AHA’s intelligence is leveraging objective patient data.
Built on 10,000+ deterministic, evidence-based medical rules, AHA offers comprehensive, hierarchical interpretations of routine lab panels. Hidden insights impact lower admissions, readmissions, and penalties. They boost case mix, shared savings, and reimbursements in value-based contracts. Uncovering root causes fast also prevents complications, elevating HCAHPS, safety scores, and reputation. And AHA reduces clinician hours and burnout by eliminating diagnostic delays and accelerating care management.
We have designed our intelligence layer for immediate impact. Our algorithms feed directly into your current intelligence systems seamlessly via API in weeks not
months.
AHA. The Health System Intelligence Layer.
Our development aim: Algorithms that make an impact for you.
Save time with consistent, comprehensive interpretations
Ensure precise blood test interpretations regardless of who reads or triages them
Expand health system capacity
Prevent physician and staff burnout / turnover by reducing time spent on a top 3 staff burnout driver
Optimize treatment plans
Inform health decisions, enhance triage to appropriate care, and help medical teams drive better health outcomes
Increase revenues
More comprehensive interpretations yield higher billing and reimbursement levels
Decrease avoidable costs
Minimize clinical administrative tasks
Reduce medical liability
AHA provides root cause analyses to help transform patient health and revise treatment plans
AHA. The Payor Intelligence Layer.
Our development aim: Algorithms that make an impact for you.
PREEMPT COSTS
Stop low-acuity issues from becoming high-cost crises. Slash long-term MLRS and protect profits. Lever existing data. No need to wait for claims data.
RETAIN MEMBERS LONGER
Deliver better outcomes, fewer surprises. Cut churn and acquisition costs, stabilize risk pool.
GET TO THE ROOT CAUSE. FAST.
Uncover drivers. Reduce complications and trial-and-error waste.
IMPROVE PROVIDER RELATIONS
Provide defensible insights. Kill disputes, align incentives, reduce friction costs.
DRIVE OPERATIONAL EFFICIENCY
Reclaim FTE hours. Boost accuracy and scalability. Reduce burnout and optimize workflows.
LEAD THE MARKET
Own proactive outcomes and cost control. Dominate RFPs, star ratings, and growth.
Financial Impact.
Sample data based on 50,000 MA and 100,000 Commercial Members.
Key Takeaways
Key Takeaways
Key Takeaways
- Unlocks Intelligence
- Drives New Insights
- Preempts Costs
- Delivers Efficiencies
- Improves Relations
Next Step: Generate Your Pop-Specific Pro Forma
- To create a custom projection model, we collaborate with your team with the following inputs:
- Actual MA and Commercial PMPM
- Current RAF accuracy and audit exposure
- ED visit and admission rates
- Digital engagement and CAHPS baseline