Data Sheet: GuidingCare Business Intelligence
GuidingCare Business Intelligence
The Power of Intelligence to Advance Care Management
In today’s healthcare landscape, generating intelligence from care management data is paramount for leveraging technology to improve health outcomes. Enter GuidingCare Business Intelligence, a module that empowers digital payers with the tools necessary to measure outcomes, efficiently manage operations, and ensure compliance. By harnessing real-time data and advanced analytics, health plans can transform care management to deliver better outcomes for members.
Key Features of GuidingCare Business Intelligence
Standard and Customizable Reports and Dashboards:
- Includes CMS-required universe reports for Part C, Part D, CDAG, and ODAG in ready-to-use formats.
Measure-Based Analytics:
- Supports clinical outcomes tracking for physicians and behavioral health.
Operational Dashboards:
- Provides insights into staff, processes, and business efficiency.
Performance Dashboards:
- Delivers insights into clinical program costs and quality.
Appeals & Grievance Dashboard:
- Visualizes closed complaints and utilization management overview.
Utilization Management Overview:
- Compare current year-to-date (CYTD) versus previous year-to-date (PYTD) metrics.
- Benefits of Real-Time Data for Digital Payers
- Gain a holistic view of patient interactions.
- Evaluate program costs and quality.
- Track and measure clinical outcomes.
- Save time creating reports for regulatory and quality initiatives.
- Leverage intelligence to improve decision-making and operational efficiencies.
Why Choose GuidingCare?
GuidingCare Business Intelligence is an integral part of the HealthEdge® solution suite, designed to support care management, utilization management, appeals and grievances, authorizations, and population health in a fully integrated solution. HealthEdge’s platform facilitates digital transformation, reduces costs, and enhances both clinical outcomes and member experiences.
For more information about GuidingCare Business Intelligence, visit HealthEdge.
By leveraging the innovative capabilities of GuidingCare Business Intelligence, your organization can stay ahead in the competitive healthcare landscape, ensuring efficiency, compliance, and improved patient outcomes.
