Payers

Build, manage and monitor a network of high-performance post-acute care providers

 

For over 20 years, PointRight has been delivering leading business intelligence and predictive analytics solutions to the healthcare industry in an effort to improve quality and outcomes in post-acute care. Wish a proprietary database of over 50 million clinical records, PointRight provides actionable intelligence that enables payers to establish a high-performing post-acute provider network that delivers high quality care to this unique member population, while also reducing the total cost of post-acute care.

Payer Solutions Download the Payer Solutions Overview Brochure.

“PointRight enabled us to reduce MSSP costs by $6.6 Million in year one by filling the gap in our performance measurement process with clinical quality data from post-acute providers that we could not get anywhere else.”

Todd Warren, MD
Chief Medical Information Officer & Medical Director
Lourders Health Network LLC, Trinity Health

Build a High Performing Network of Post-Acute Providers

PointRight enables you to build your optimal network to reduce readmissions and cost by incorporating performance measures such as length of stay, staffing, CMS Quality Measures, and care process/outcomes. Diagnosis-specific post-acute grades are assigned to SNFs and Home Health organizations using the National Quality Forum endorsed PointRight® Pro 30® risk-adjusted rehospitalization measure.
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Enhance Care Transitions

The PointRight solution matches estimated, patient-specific readmission risk to providers’ post-acute performance grades to improve the process of comparing the post-acute location under consideration for a member. PointRight provides the expected 3- and 30-day readmission rates at each skilled nursing facility and Home Health agency. The member’s risk is based on a checklist that includes demographic, diagnoses, conditions, functional status and the treatments to be continued at the post-acute setting.
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Build efficient member care plans

PointRight predictive analytics provide deep insight into key member management data, including Activities of Daily Living (ADLs), cognition, depression, pain, falls, mortality, hospital admissions, pressure ulcers and community placement. Using PointRight analytics, you can gain a thorough understanding of specific readmission risk factors for improved and efficient member care plan development.
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