Risk Providers & MSOs

We help providers and MSOs maximize their revenue while transitioning 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 Analytics

Collect

Financial and clinical data into a single platform.

Analyze

Costs of services and compliance on a per patient, a per physician, or group basis. Analyze performance indicators, trends, cost opportunities, care gaps, and risk gaps with easy-to-use dashboards.

Act

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

Save and Increase

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

Turning Healthcare Insight
into Action

Primary care physicians simply don’t have the staff, time, or data to improve efficiency and compliance with health plan and government regulations

Thankfully, there
is a solution

iMLR is a powerful cloud application that interprets financial and clinical data in a single platform. It generates scorecards by tracking important factors like HEDIS and HCC gaps, helping physicians to close those gaps and improve care. Insights are provided at the patient, primary care physician, and physicians group levels to understand where the issues are. Easy to use dashboards and workflows help primary care physicians act on these issues.

A Performance Management Solution for Practices and Physicians.

Simply put, iMLR provides doctors with a powerful yet easy way to effectively increase the efficiency and performance of their offices. This results in better quality care and increased revenue for both the managed care organizations and physicians.

Our solutions are
suitable for:

Health Plans

Accountable Care Organizations (ACOs)

Management Service Organizations (MSOs)

Independent Physician Associations (IPAs)

Risk Providers