Analytics and Medical Economics

Meeting the Challenge

As health care organizations and processes become more integrated within a quality care model, clinical, financial, and operational analytics are key drivers for providing insights and efficiencies to deliver the right care, at the right time, in the right setting.

Valence has experienced staff in Medical Economics, performing clinical, financial, and operational analytics to get a more complete assessment of risk and operational efficiency.

Transform data into actionable information.

Valence excels at accessing and using data to create comprehensive, timely, and integrated system-wide reports that support reimbursement, contract negotiation, medical management initiatives and other information-driven management functions.

vQuest supports organization analytics.

Valence has developed a web-based analytic reporting tool, vQuest, which allows organizations to run standard reports, create and save custom reports, and create executive-level performance dashboards.

Management and Reports illustrate cost drivers and key performance indicators for management. The report provides benchmarks allowing you to focus your attention on opportunities for change to improve medical and financial performance. A broad range of subjects is included to provide a comprehensive view of Medical Loss Ratios, utilization patterns and where the money is going.

Primary Care Physician Reports provide many of the same data from the Management Reports, but it is isolated on the panel of the patients for an individual PCP. Additional information is provided to identify high risk and high cost patients of that provider.

Specialty Profiles gives physicians and executives detailed information on both the continuum of care and specific episodes of care that can immediately be applied to patient care and network protocols. The report is often used to present leading practice patterns, which verifies and encourages compliance with organizational change.

Pharmacy Reports provide detailed information on prescriptions and pharmaceutical usage by patients and members. The report provides information on the usage of drugs by type and class as well as specific high-cost drug utilization.