In today’s value-based care environment, payers need access to advanced technology, real-time network performance evaluation, and predictive analytics to effectively work with post-acute providers. WellSky® delivers payers the ability to directly connect with providers and gain insight into real-time patient care in the post-acute network. With WellSky, you can optimize authorized care plans, drive savings, and address gaps in care that improve outcomes and enhance HEDIS scores.
Explore our risk-enabled capabilities for payers
Referral optimization
Gain visibility into discharged members’ progress and opportunities with WellSky. Using member-level insights, you can identify the optimal care setting and provider to improve outcomes, increase member satisfaction, and lower the total cost of care.
Care coordination
WellSky combines our suite of interoperable solutions and services with our connected network of more than 12,000 home- and community-based providers to coordinate care across the continuum. Easily identify, track, and manage members along their care journeys, ensuring smoother care transitions and smarter care in each setting.
Population insights
Our proprietary machine-learning infrastructure continuously analyzes claims, social, and real-time electronic health record (EHR) data to provide deep insight into care risks and opportunities. Identify member-level changes in risk in real time and intercept potentially adverse outcomes.
Care protocol delivery
Leverage WellSky’s first-of-its-kind, evidence-based, and software-driven protocols for high-cost disease states, including congestive heart failure (CHF). Programmatically drive automated care protocols directly to home-based care providers and other settings of care to improve outcomes for your highest utilization members.
Performance management
By delivering value-based analysis and reporting, WellSky enables risk-bearing entities to structure, evaluate, and deliver on risk-based contracts with post-acute providers on an unparalleled scale. Compare provider performance against contract metrics in real time, and gain a better understanding of your network’s strengths and weaknesses.
Designed for your success
Data driven
Harness powerful analysis and reporting at both the macro- and micro-level that allow care managers to optimize outcomes and improve care quality.
Connected
Coordinate operational and clinical protocols seamlessly across settings of care and WellSky’s connected networks.
Customized
Collaborate with WellSky’s team of experts to create customized solutions built to serve your unique organization’s needs.
The largest acute, post-acute, and community care provider network in the U.S.
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