Payer and provider services include evaluation of claims and other source data and tracking of clinical and quality metrics for Medicaid, Medicare and commercial programs.
Measures can include national (HEDIS, AHRQ, CMS) as well as state or plan specific measures such as for Medicaid managed care plans, providers and state hospital directed payment programs.
Intelligent Health’s advanced platform houses and analyses the data to produce benchmarking, trends and output reporting and visualization for clients.