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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
The VDT Affinitē Risk Adjustment module includes: • Multi-user access to the stand-alone Risk Adjustment Module of the Affinitē platform for CMS HCC Risk Adjustment. With Affinitē Risk, HEALTH PLAN NAME will receive the following: o Implementation o Data Integration and Analytics, Warehousing and Daily Processing o Dashboard high-level insights including the status of HCC capture, the performance of providers and provider groups, and HCC opportunities o Reporting o Estimated RAF scores at the member, provider, and provider group level based on claims data o Estimated member level RAF score build-up incorporating demographics, acute and chronic HCCs, disease interactions, and HCC payment count o Identification of HCCs obtained from claims data and chart review o Visibility into detailed claim data, highlighting HCCs that impact the RAF score o Visibility into detailed pharmacy data including refill status and ordering provider o Comparison of estimated RAF scores for current and prior year(s) o Identification of Missing HCCs (year-over-year gaps) for all open years at the member level o Member level identification of possible suspect HCCs based on claims and supplemental data for all open years. o Preparation of RAPS claim submission files in CMS required format o Preparation of RAPS supplemental submission files from chart review in CMS required format o Ability to monitor providers and provider group related to HCC capture, HCC gaps and average RAF score o Train-the-trainer training and support on the VDT Affinitē solution
About Vital Data Technology, LLC:

Vital Data Technology empowers health plans to continuously improve outcomes, accelerate compliance and control costs. Vital Data’s Affinitē™ platform unifies formerly siloed data and leverages artificial intelligence and machine learning to drive actionable interventions. The platform’s modules include: Affinitē™ PlanLink™ for real-time CareFlow™ automation and case management for stakeholders throughout the care continuum; Affinitē™ ProviderLink™ for prioritized, actionable patient interventions; MyVitalData™ for mobile app member engagement; Affinitē™ Quality for optimization of quality management and HEDIS® performance, and Affinitē™ Risk for Hierarchical Condition Category (HCC) risk adjustment.

Vital Data Technology is trusted by health plans nationwide across Medicare Advantage, Medicare, Medicaid, commercial and self-funded adult and pediatric populations and has received NCQA HEDIS® Certification for five consecutive years. For more information visit: www.VitalDataTech.com or call (866) 482-8399.

Product Description:
Healthcare is rapidly moving to value-based care (VBC)–where providers are incentivized to deliver value, versus fee-for-service. This trend will be great for patient outcomes and system efficiency. Yet 96% of executives report no contract management system, manual processes, and/or outdated systems. It can take months to model and negotiate contracts. Enter Syntax. Syntax is an enterprise SaaS solution that enables VBC adoption. It offers advanced analytics and a real-time collaborative workspace where myriad stakeholders (actuaries, analysts, network managers, providers) engage in modeling and negotiation. Syntax accelerates the VBC contracting process, improves efficiency, promotes transparency, and reduces friction. As a result, health plans and providers can achieve better outcomes from best-fit aligned incentives. Moreover, they can accelerate the contracting process, improve efficiency, promote transparency and reduce friction from start to finish.
About Syntax Health:

Syntax is the only two-sided SaaS actuarial platform that enables and scales VBC adoption. It offers advanced analytics and a real-time collaborative workspace where myriad stakeholders (actuaries, analysts, network managers, providers) engage in modeling and negotiation. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

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Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

For Providers: Managing & negotiating multiple contracts is hectic. Reduce the back and forth, with Syntax.

  • ​Keep all your contracts in one place
  • Simplified, direct communication with all stakeholders
  • Shared contract views mean everyone sees the same contract
  • Eliminate your version control worries (we’ve automated that).

For ACOs: Grow into new markets by more efficiently designing and managing your risk-based contracts.

  • ​A single platform to analyze your data, build your models and measure your performance
  • Expedite the value-based care contracting process by using a process based workflow designed to enable negotiations not hinder them
  • Confidently show potential financial outcomes with drill downs into all data points

For Physician Leads: Make confident decisions knowing what your contract really means

  • Adjust quality and cost terms and see the impact on your value-based projections​
  • Communicate in real-time with your internal and external stakeholders
  • Know what it will take to be successful with clearly defined parameters
Pediatric use cases:

None provided

Users:

Syntax is for all VBC stakeholders:

  • Providers
  • Plans & Pay-viders
  • ACOs
  • Digital Health
  • Actuaries & Analysts
  • Netowrk Managers
  • Physician Leads

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Not applicable

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

N/A

Differentiators vs Competitors:

Syntax offers something entirely new: actuarially credible program design and contract modeling capabilities coupled with transparent, collaborative contract negotiations via our 2-sided workspace. Most solutions in this space are focused on care coordination or population health.

How we're different:  

  • Our SaaS enterprise solution facilitates open, candid, real-time discussions that break down barriers posed by physical distance, lack of trust, or apprehension over the risks associated with implementing a new value-based care model. 
  • Syntax deploys a team-based approach in which everyone can view savings, spend and the direct impact on outcomes/efficiency that different models have. 
  • We enable teams to model contract terms and incentive scenarios using our fast-track templates or they can configure their own using our dynamic model builder. 
  • Syntax also provides the ability to refresh performance measurement on demand, allowing team members to preview emerging trends for course correction and value alignment.
  • We delight customers by automating tasks often done in cumbersome, time-consuming ways.
  • Syntax saves time, removes redundant tasks and improves efficiency.

Keywords

Images

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Videos

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Syntax Highlights Video 1

Downloads

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An Insider's Playbook - Advancing Success in Value-Based Care.pdf

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Company Details

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