Transforming Health Systems to become Data Driven Organizations

ASO

VegaLytics for Administrative Services Organization

VegaLytics provides Administrative Services Organization (ASOs) with a scalable platform to easily onboard customers, improve data quality and apply business rules to detect claim leakages.  Easily have the capability to send data in any format to TPA or repricers. Produce customer reports automatically, ad hoc or bundled, executive dashboards,  Calculate utilization metrics, avoidable ER, provider performance , cost variance reports, provider performance reports, advanced analytics, predictive modeling and risk stratification solution that gives complete transparency and helps their client’s case management team to control health risks and costs at multiple levels. Leverage VegaLytics platform to scale your business.

Jade’s VegaLytics platform gives every ASO many advantages such as : Easy plug-n-play features, detailed drill-through solutions that allows users to generate executive summary reports, compare plan performances and cost of care, access high cost claimants , episode and line level costs reporting. All these features work together to improve care management outcomes and deliver better downstream access to reporting abilities for their clients. Clients with these solutions at their fingertips are now able to prevent excessive admissions/readmissions, reduce claim leakages, close gaps in care, reduce ER utilization and evaluate medication risks/costs.

TPA

VegaLytics for Third-Party Administrators

VegaLytics provides Third Party Administrators (TPAs) ability to ingest any TPA or health plan data and send the data back in any customer requested format. Offer executive dashboards, client reporting, utilization metrics, early claim leakages, avoidable ER, provider performance , cost variance reports, provider performance reports, advanced analytics, predictive modeling and risk stratification solution that helps their client’s case management team to control health risks and costs at multiple levels.

Jade’s VegaLytics platform gives TPA affiliates the advantage of an easy-to-use, point-and-click , drill-through solution that allows users to generate executive summary reports, compare plan performances and cost of care, access high cost claimants , episode and line level costs reporting needs to improve care management outcomes and deliver better downstream access to reporting abilities for brokers, consultants, clients, stop-loss carriers and other constituents.

Those constituents are then able to better support admission and readmission prevention, claim leakages prevention, close gaps in care, and reduce ER utilization and medication risks/costs with the help of Jade’s actionable insights.

Health Systems

VegaLytics for Health Systems

Jade partners with health plans in a variety of ways to effectively manage costs, quality, and delivery of care. With access to Jade’s easy-to-use platform, health plans gain precise data that exposes patterns and pinpoints problems with in-depth detail on quality and cost of care.

With data being ingested, cleaned, mapped and structured in a data warehouse to track demographic, medical, Rx, vision, dental, clinical, biometrics, Jade’s VegaLytics platform not only provides out of the box reporting metrics such as : utilization metrics, avoidable ER, high cost claimants, but also predicts future medical/pharmacy costs , risk scores and future events such as inpatient/outpatient hospitalizations, morbidity events and other costly occurrences.

Health Systems and their case management teams can now steer high risk member population, avoid inappropriate ER utilization, and reduce admissions and readmissions 6 to 12 months in advance.

Brokers and Consultants

VegaLytics for Brokers and Consultants

Jade’s VegaLytics Platform strengthens broker and consultant portfolios by providing a dynamic tool that helps optimize healthcare management, reduce health risks/high cost claims, and lower overall healthcare expenses.

With VegaLytics, brokers and consultants can customize cost-savings actions and strategies that are easy for self-funded employer clients to understand and implement. Supporting admission and readmission prevention 6 to 12 months in advance has never been easier.

Brokers and consultants can also utilize VegaLytics to generate executive summary reports suitable for renewals and periodic client meetings, access utilization metrics, provider performance, cost variance reports, avoidable ER, high cost claimants and other such reports to ensure value is being achieved through care. This complements the services provided by TPAs and Health Plans to help employers better manage risk.

Employers need a bird’s eye view that guides them on what is happening with their employee health. They need a guide on action steps they can take to improve health outcomes and lower costs. VegaLytics is the tool Brokers and Consultants can use to deliver this level of actionable insight.

VegaLytics can help Brokers deliver more value-added services to their employer groups by:

  • Providing historical plan performance data
  • Supporting them with insights that will close gaps in care
  • Reducing inappropriate ER utilization
  • Supporting medication adherence and reducing medication risk and cost
  • Consolidating data from multiple HPs, TPAs and PBMs
  • Providing them the ability to view and select high performing providers in a network