Amidst budget constraints, changing federal and state policies, and the challenges of meeting the unique needs of the Medicaid population, government agencies continue to make the shift to value-based care.
In the current environment, it’s essential to have an accurate picture of current operations as well as insights into the future - issues on the horizon that can be prevented or mitigated. When agencies have 360-degree views of their populations and of each beneficiary, they are empowered to share data with other entities tasked with providing care - including pharmacy, behavioral health, and other providers of care for specialty populations.
HealthEC helps government healthcare agencies optimize health and well-being of their beneficiaries by providing a unified population health platform along with assistance needed to:
- Reduce clinical and administrative tools
- Identify gaps in care
- Address social determinants of health
- Assess and improve provider performance
- Enable effective care coordination across entities that work together to address the needs of the Medicaid beneficiaries
Control costs, improve quality of care for beneficiaries, and provide greater oversight of managed care programs
4 Key Capabilities
UNIVERSAL DATA WAREHOUSE
HealthEC’s expertise in data warehouse development and implementation facilitates unparalleled data access and connectivity, affording states flexible, cost-efficient performance, and reporting solutions.
Dedicated to improving healthcare quality measurement and reporting, our platform allows the user to monitor performance reporting, compliance, and utilization as the industry moves from volume to value.
SOCIAL DETERMINANTS OF HEALTH
Embedded assessments address barriers to care, facilitate data-driven collaboration between Medicaid agencies, payers and providers, and connect beneficiaries to the services they need.
MCO PERFORMANCE MONITORING & ANALYTICS
Improve MCO performance with timely, accurate dashboards powered by innovative data aggregation and analytics technology that leverages 100 percent of all electronically available data in near-real time.
Learn how HealthEC’s platform can help you control costs, improve quality of care for
beneficiaries, and enhance oversight of your managed care programs
State Medicaid Agencies
For State Medicaid agencies, HealthEC provides the ability to aggregate data from disparate organizations (Medicaid managed care organizations, Federally Qualified Health Centers, pharmacists, and other provider types), risk stratify beneficiary populations, and develop tailored care plans that address the specific needs of Medicaid beneficiaries - while reducing unnecessary costs and closing gaps in care. Supporting a holistic view of the beneficiary, HealthEC supports complex care requirements by integration medical and behavioral health data and factors in social determinants of health, so that State Medicaid agencies and other healthcare organizations can easily coordinate care plans and connect beneficiaries to the services they need.
How can we help your state address its unique Medicaid challenges?
State and County Health Departments
On the front lines of healthcare delivery, state and county health departments need tools that deliver quality care and ensure limited resources are deployed effectively. HealthEC equips health departments with a population health platform that makes care assessments quick and easy. Our CareConnect module let’s care managers develop evidence-based, individualized care plans that integrate behavioral and medical health data, comorbidities, risk factors, and social determinants of health. Armed with reliable, 360-degree data on their beneficiaries, care givers can address gaps in care, coordinate complex care, and connect beneficiaries with the services they need, all while driving costs down.
How can we help you address the unique Medicaid challenges you face?
What Our Clients Are Saying
Our reason for bringing on the HealthEC product is to truly integrate data from multiple sources and create a comprehensive view of the drivers of quality and cost. As we try to understand the total cost of care, we need data so that we understand which services were sought for outside of our hospital, and getting the data in a format that we can understand is key to understanding our total cost of care. We had large chunks of data that were missing from our clinical record, and by bringing together the claims data with data from the state health exchange, we have the full picture. HealthEC's strengths are identifying variability that drives cost and identifying the sources of that variability down to the drug, physician, site, or diagnosis. The HealthEC system allows me to identify where we need to make changes.VP/Executive – December 2021
HealthEC gives us a medical chart on steroids. It saves our records and saves the patient medical documentation in the cloud, and we can also schedule transportation from the system. We can use it to connect to our transportation department when people have outside appointments and they need to request transportation. We have a link that sends a daily copy of the medication administration record and certain charts. It does more than people would think it does. I wish that we had had a system like this years ago back when we had little black appointment books. I would have loved that. Now everything is in a system, and a patient's records are truly private.Analyst/Coordinator – November 2021
The system is amazing. We had a couple of providers who were still doing everything on paper, and when it came to doing GPRO and MIPS, rather than sending an inexperienced chart chaser, I went in with information preloaded on my laptop. The vendor preloaded their technology front end, and that was superb because it taught me how to do things. All of my questions were in the system, and all of the measures existed in drop-down menus. Our system populated the dashboard at HealthEC's main office in real-time, so even before I left the facility, I could quickly call HealthEC and ask whether I was done. Then HealthEC would look at the portal and tell me whether I missed something. It was really tremendous because everything was done in real time. I am not a high-tech person, so if someone like me can figure out the system, then anybody can figure it out. When we have had discussions with HealthEC regarding things that we need to do or identify, they have done those things. I have found absolutely nothing that HealthEC is not capable of doing.VP/Other Executive – November 2021
I always recommend HealthEC to others. Almost every time someone asks who they could partner with to demonstrate how to use data to improve quality outcomes, HealthEC is my number one referral.CEO/President - October 2021
The product is part of our long-term plans because we have a continuing need for an application that allows us to look at utilization based on claims. HealthEC’s product is the only software I have seen that performs well in terms of showing us claims data. The product has a huge reporting capacity for utilization and claims data. We can tell that HealthEC knows claims data. They have several different ways to look at utilization that are important for the work that we are trying to do. We continually need data to help us understand the populations and the variations we are dealing with. The MCOs in the Medicaid space have shifted and continue to shift. We are looking at contracting with MCOs, and we have accumulated data over the years, so we have a robust history. If patients move from one MCO to another, the MCO has some limited information about the beneficiary, but we have all the information because we have seen the patients go from different MCOs while staying with the same provider. Patients’ insurance providers may change, so having data has been helpful.CTO - October 2021
As we progressed with our shared savings program and got closer and closer to success, we realized that we needed an analytics tool that could help us improve. We were introduced to HealthEC by a respected peer, and we figured that HealthEC would be a safe bet for what we needed. We looked at their product and found that it was definitely robust. HealthEC has a background with strong analytics for shared savings. We needed a platform that could take our data and show us the patients that we needed to spend more time with so that we could be more efficient in how we spent our time. We really liked HealthEC's platform, and the vendor explained to us how we would use it. Its price point was very attractive, and it offered us what we needed. The person that we talked to from HealthEC was very knowledgeable, kind, and available.CMIO - September 2021
HealthEC's solution is a nimble, easy-to-use system with good reporting functionally. The system is quick to ingest third-party data.VP/Other Executive - September 2021