Healthcare Effectiveness Data and Information Sets (HEDIS) are sets of performance measures widely used in the managed-care industry. Over 75+ measures are reported on by payors, many of which are based on laboratory data. Although payors have treasure troves of healthcare data, they often don’t have detailed laboratory test data, such as individual test results. With these requests becoming much more frequent, laboratories need to adopt solutions which enable the aggregation of their billing information with the test results to aid in member population analyses and HEDIS reporting requirements. This means laboratories have an opportunity to strategically position themselves with their payors.
The process of aggregating lab billing information with test result data and ensuring an accurate mapping of various permutations is extremely cumbersome. Accessing and compiling this data typically takes several months to complete. This has prohibited most laboratories, except for the largest ones, from being able to deliver this information in a meaningful way. Payors need the ability to quickly access this information, drill down into the raw data, and the flexibility to slice and dice the data to address their complex and dynamic requirements.
As most lab leaders have learned, it is extremely difficult to aggregate your billing and results data. And it’s even more difficult to create a platform that allows you to securely and effectively provide your payors the access they need. So how do you ensure your portal is secure while limiting access to your data per payor? And how do you provide your payors the ability to customize and automate the sharing of these reports?
With declining reimbursements, a competitive landscape and a shift towards outcomes based and bundled payments, it is important for labs to provide value-add services to key constituents across the healthcare system, especially payors.
The Viewics team is pleased to announce the first release of Viewics Pulse, our next generation, cloud based, data platform. This first application of Viewics Pulse, payor analytics for laboratories, is successfully delivering valuable information to various payors for labs. Viewics customers now have a turn-key solution that aggregates their billing information with the results data providing payors with a cutting edge cloud based platform that allows them direct access to the data they care about, instantly.
With the Viewics payor analytics solution, payors will be empowered with on-demand access to the information they care about from the laboratory. IT staff will have time to focus on other priorities. Executives have additional value that they can bring to the table during payor discussions.