Health Plans & ACOs

We ease the transition into risk contracts and value-based reimbursement.

The Challenge

Poor alignment of provider performance with clinical and financial objectives, antiquated reporting systems, and inefficient provider engagement programs are preventing health plans from consistently achieving important goals including:

4 and 5 STAR CMS Ratings

Increased HEDIS/Quality Outcomes

Improved MLR

As a result, Health Plans are losing between 15-25% of their potential revenue. The missing link between low and high performing health plans is a robust provider engagement initiative that tracks performance and incentivizes the desired behaviors. iMLR is the tool that makes that possible.

How it Works

We bring Solutions to Healthcare Organizations through Data Analytics

Collect

Financial and clinical data into a single platform.

Analyze

Performance indicators, trends, cost opportunities, care gaps, and risk gaps with easy-to-use dashboards.

Act

With role-based work flows and dashboards provided to financial and clinical staff. iMLR makes data meaningful and actionable.

Save and Increase

Quality of care by adopting a proactive and preventive approach while directly incentivizing providers for high performance.

Turning Healthcare Insight
into Action

In a typical system, physician performance cannot be easily measured on a timely basis. As a result, good providers are not incentivized to improve performance measures and poorly performing providers are not identified and given proper support.

Thankfully, there
is a Solution

Health Plans and ACO’s can now create incentive bonus plans based on the performance criteria they determine. Physicians can see the bonus earned and their potential remaining bonus for each measure each time they log into the system.

A Performance Management Solution for Healthcare Organizations

Simply put, iMLR provides health plans with a powerful yet easy way to effectively increase the efficiency and compliance of their physician offices. This results in better quality care and experiences for patients, increased revenue for managed care organizations and physicians, and reduced costs for everyone.

Our solutions are
suitable for:

Health Plans

Accountable Care Organizations (ACOs)

Management Service Organizations (MSOs)

Independent Physician Associations (IPAs)

Risk Providers