Geneia Wins Salesforce Innovator Award at HIMSS
Salesforce honors Geneia for its value-based care solution.
March 21, 2017
Tom Murray, Principal Consultant
Geneia has a successful track record of helping health plans and their provider partners succeed in value-based care relationships, and we’ve written frequently about those success stories.
To refresh your memory, we’ve shared the stories of a number of health plan leaders who have used our Theon® advanced analytics platform to achieve their organization’s goals for improving the cost and quality of healthcare, including:
Val - A health plan leader who trimmed claims cost by two percent
Sam - A health plan IT leader who saved $3.1 million by sunsetting legacy software
Blair - A Medicare Stars director who increased her plan’s rating to 4.5 stars
We also published a case study about a health plan that improved quality outcomes, utilization trends, and claims costs in its value-based partnerships.
Perhaps it could go without saying that these health plan success stories all begin with a comprehensive and thorough implementation process, but in my 10+ years in the health information technology industry, I’ve learned implementation does not always go as intended. Too often, the process is cheated of sufficient time, resources and leadership, and fails to anticipate the impacts to the people whose work is changed.
At Geneia, our process puts the right emphasis on process, people and technology, and is designed to help our clients and their stakeholders succeed in value-based partnerships and achieve their cost, quality, outcome and engagement goals.
As one of the Geneia implementation leads, I typically work closely with a health plan leader who is directly responsible for the plan’s success in value-based contracts, often the vice president of provider network strategy. In the ideal situation, this person has been very involved in the health plan’s selection of Geneia’s Theon® advanced analytics platform for use by the plan and its value-based partners.
It is quite common for health plans to seek a rapid implementation. After all, they have already come to know the sooner the plan and participating providers begin using the Theon® platform, the sooner they will improve their cost, quality, utilization and outcome trends.
A ‘quick start’ implementation is one of the reasons health plans prefer Geneia’s Theon® solution. Implementation time varies due to the uniqueness of each client, but because it is a cloud-based application, the start of implementation to go-live is at least 50 percent shorter than non-cloud solutions. When we begin our phased implementation process with claims data only, we are able to implement the Theon® platform in as few as 12 weeks.
Geneia Implementation Best Practices
The bottom line is that Geneia has created a timely and efficient implementation process that prioritizes quick wins for the health plan and their value-based providers.
Three lessons for successful value-based reimbursement.
Eleven key questions physicians should ask their health plan partners about reporting before signing value-based contracts.
Drive Interoperability. Drive Success.
It’s tempting to focus on only the health insurance provisions of the Patient Protection and Affordable Care Act, yet the law is so much more.