Latest version of value-based care platform delivers new provider and payer engagement solutions, integrated referral management module, unique user interface, as well as enhanced predictive analytics for downside risk performance.
IRVING, TX – February 7, 2019 – Lightbeam Health Solutions, a leader in end-to-end population health management solutions and services, announced today the release of a new version of its population health management platform: Version 3.0. This release focuses on extending capabilities and ease of use for managing high-risk, high-cost populations. Version 3.0 includes new data integration services, provider insights chart, KPI dashboard, referral management module, user interface design, in addition to enhancements of existing Medicare Advantage (MA) and hierarchical condition category (HCC) analytics.
The provider insights chart provides visibility into how quality measures impact provider reimbursement and performance bonuses. The chart quantifies the economic value of closing gaps in care and quality measures for each provider so they can visualize how their performance impacts payment incentives. New provider engagement views identify each quality measure providers are accountable for and how they are tracking towards their target compliance rate. Providers no longer have to wait for reports and hope their performance exceeds requirements.
The key performance indicator (KPI) dashboard was designed for optimum provider and end-user adoption. It tracks cost, quality, and utilization in areas that drive value-based reimbursement. This dashboard contains distinct panels that may be filtered by contract such as cost and utilization, wellness visits, MA trends, transition of care, risk scores, and static cohorts so providers can easily pinpoint areas that need improvement.
Referral Management Module
Within 3.0, Lightbeam has released the new referral management module to address the critical role referrals and narrow networks play in value-based care arrangements. This module identifies the impact referrals have on cost, quality, and revenue. The workflow and decision support help referral coordinators build a high-quality network, control leakage, and track referral patterns while ensuring the loop is closed between patients and providers.
The user interface updates are a result of client feedback captured during focus group meetings, surveys, and one-on-one interactions. The new interface provides a uniquely intuitive look with access to the same valuable insights as before. New features also include a collapsible navigation bar, improved layout, and simplified views.
Predictive MA and HCC Analytics
Version 3.0 features enhanced analytics for MA plans and participating provider organizations. By combining clinical information, lab data, and insurance claims, then applying predictive modeling algorithms including the proprietary “Lightbeam Ability to Impact” formula (ATI), the platform identifies HCC coding gaps. In addition, the system searches for suspect codes which suggest there are missed diagnoses for existing or developing conditions. These instances would mean updating the risk adjustment factor (RAF) score CMS uses to determine payments.
“Over the last half decade, one of the biggest challenges we have seen healthcare organizations face is the ability to engage providers at the point of care,” said Bob Nary, VP R&D of Lightbeam Health Solutions. “Version 3.0 simplifies this. The new capabilities and enhancements to the Lightbeam platform enable a level of communication for coordinating care that no other population health company is delivering. We understand provider workflow challenges, particularly in value-based arrangements, and how to help drive better outcomes and compliance at a lower cost.”
Lightbeam will introduce Version 3.0 at HIMSS19 booth #4370, February 12 – 15, 2019.