Solving data challenges: One platform for value-based care

Healthcare organizations face increasing pressure to adopt value-based care, but one crucial barrier to its adoption remains: data management. Despite advances in artificial intelligence (AI), data quality remains a struggle.

Although organizations continue to invest resources into acquiring and sorting through mountains of clinical data from disparate sources and formats, the result is limited resources to unlock key insights. For the next evolution of value-based care technology, organizations will require a unified data management strategy powered by AI to fuel their success.

Facing the data challenge in the age of value-based care

Healthcare organizations are grappling with how to address rising healthcare costs, improve health outcomes, and meet the growing demands of consumers. To solve these problems, the value-based care market continues to grow – by 2030 it’s expected to grow by over $2 trillion. And since CMMI has prioritized putting all Medicare beneficiaries in plans that include downside risk by 2030, healthcare organizations must adapt quickly to these models of care.

Still, the complete adoption of value-based care continues to lag. In 2023, only 43% of Medicare Advantage payments were tied to downside risk. One of the leading reasons for the delay is insufficient data integration. Healthcare data is expected to reach 36% of all data this year, and along with the sheer volume of data come numerous complexities in handling it: lack of interoperability, inconsistency in quality, and a large volume of unstructured data.

Healthcare organizations need to transform their data management capabilities in order to succeed in value-based care.

Unifying clinical data with one platform for value-based care

Adopting one unified platform for value-based care empowers healthcare organizations to seamlessly navigate an evolving healthcare landscape through comprehensive data management. Here’s how it helps.

Interoperability and secure integrations standards from system to system

Over 60% of providers and nearly half of health plans struggle with insufficient data integration. This prevents them from developing a comprehensive view of clinical data, leading to increased administrative work and reducing their ability to make data-driven care decisions.

A unified platform for value-based care allows health care organizations to securely integrate with multiple systems and sources of clinical data, creating a unified view of patient care experience. Interoperability with EHRs, HIEs, and other third-party systems makes it possible to quickly extract critical clinical data and organize it in one place.

Working with multiple data sources should not present a barrier to value-based care. Using AI to super-charge your interoperability within a unified value-based care platform allows data to flow seamlessly across the programs while ensuring data remains encrypted and secure.

Data processing and matching of structured and unstructured data using AI

With the speed afforded by AI-powered technology, value-based care organizations can process large quantities of data in far less time. For example, Reveleer’s proprietary AI assistant, EVE™, can process up to 96,000 pages an hour of clinical data, extracting relevant data points to create a holistic view of patient health.

A unified platform for value-based care should be able to extract relevant insights from both structured and unstructured clinical data, such as clinical notes, and match the data to unique patient identifiers.

Processing patient and member data and centralizing the data into a holistic view enables rapid and accurate data capture and processing across multiple healthcare data sources. This reduces manual review time and provides the data necessary to drive the cost reduction and quality improvement necessary for success in value-based care.

Data transparency and visibility through analytics and reporting

User-friendly reporting and analytics capabilities within a unified value-based care platform facilitates better decision-making and, ultimately, brings together the work of unifying and processing your data.

This level of comprehensive performance tracking provides transparency across projects, enhancing collaboration and improving productivity. Advanced analytics and reporting also supports insights-driven decision-making and prioritization. With key data points easily at hand displaying statistics including rate of record retrieval and abstraction, patients with unaddressed care gaps, and predicted RAF scores, healthcare organizations can continuously optimize their efforts.  

One platform built for all your value-based care challenges

Reveleer’s value-based care platform offers comprehensive data management technology that translates complex healthcare data into actionable clinical insights. The result is enhanced operational efficiency, improved patient outcomes, and significantly better financial performance across value-based care models.

Interested in solving the data challenge with one platform for value-based care? Request a demo today.