HealthCorum Introduces a Unified Solution for Price and Quality Transparency

Aug 23, 2023 | Business

 HealthCorum, a Boston-based healthcare data analytics company, has introduced the HealthCorum Transparency Hub, a comprehensive solution that delivers best-in-class transparency components to help organizations effortlessly comply with price transparency mandate requirements while giving consumers greater confidence in their healthcare decisions. The company’s provider quality scores complete the picture and help realize price transparency’s full potential.

The solution includes a unified API that delivers quality transparency, price transparency, out-of-pocket calculations, and patient to provider matching. Market leading applications and point solutions partner with HealthCorum to deliver these capabilities, supporting consumers and care navigators in the provider search and selection process.

Murat Alpman, HealthCorum’s Chief Innovation Officer, said, “We’re excited to bring together all of the critical components necessary for a complete transparency solution.” Alpman continued, “Health plans, self-funded employers, and their technology solution providers can now integrate seamlessly with one centralized data hub for all of their transparency needs.”

HealthCorum’s scores are designed to work alongside price transparency data in provider search directories, driving value and reducing wasteful spending. In addition to shopping on cost, consumers can see which providers are most experienced at performing the procedure and compare similar providers in any given market.

With a single solution, HealthCorum clients will be able to avoid inefficiencies and integration problems while unlocking resources to devote to their core business.

About HealthCorum
HealthCorum specializes in transforming healthcare data to create actionable information. As a data analytics company founded with the mission to reduce healthcare costs through identifying and reducing low-value care, HealthCorum helps organizations optimize provider networks and shift utilization to high-value providers and facilities. Public and private organizations use HealthCorum’s provider scores and insights to power a myriad of strategic initiatives, such as guiding members towards high-performing providers and enhancing price transparency in provider search tools. With one of the broadest coverages of provider specialties and sub-specialties in the market, HealthCorum delivers accurate comparison of providers and facilities to their peers.

HealthCorum
Keith Somers
617-221-7190
www.healthcorum.com

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  • Technology

Zelis and HealthCorum Partner to Advance Provider Network Optimization for Insurers

Mar 26, 2021 | Business

Zelis, the leading payments company in healthcare, and HealthCorum, a health data analytics leader focused on driving greater efficiencies in provider networks, have partnered to reduce wasteful spending and increase medical cost savings with a focus on enabling high-performing networks.

The partnership brings together complementary pieces to build high-performing networks, giving insurers a degree of visibility that does not exist elsewhere in the market today. The joint solution integrates HealthCorum’s scores and metrics, which identify the high-performing providers in a given region, into the Zelis enterprise Network360® platform where health plans can build, evaluate, and deliver networks based on complex, ever-changing business requirements, including advanced quality scores.

“Whether it’s designing for a new market or improving outcomes for existing products, the right network is essential for effectively managing costs and improving quality,” said R. Andrew Eckert, Zelis CEO. “We’re excited to partner with HealthCorum to make provider-level analysis actionable, enabling insurers to view individual practice patterns and better predict how providers will perform.”

For healthcare organizations, the timing couldn’t be better. Wasteful health spending continues to run rampant in the U.S. with $760 billion to $935 billion lost annually according to JAMA: The Journal of the American Medical Association. As such, the shift to value-based care continues to pick up steam, and with it comes a need to better understand how providers will perform in at-risk arrangements. Even those in traditional fee-for-service models need to optimize outcomes per dollars spent and avoid unnecessary spending. Organizations must have the ability to survey the provider landscape and see how different personnel choices may impact overall network value.

“Just as a doctor diagnoses a patient, healthcare organizations should be diagnosing their provider networks,” said U.N. Amighi, President of HealthCorum. “We deliver transparent and actionable insights to help assess individual providers’ strengths and weaknesses, which can then be leveraged in the Zelis Network360® solution. It’s a match made in data-heaven.”

Zelis clients can adjust networks in real-time, integrating competitive and cost analysis to gain instant feedback on network viability before going to market. In addition, Zelis clients can gain access to HealthCorum’s AI-powered provider analytics. This technology delivers a host of capabilities including care quality identification, referral pattern analysis and conflict of interest detection. These insights combined provide ample opportunities to increase network efficiencies across the board.

About Zelis

As the leading payments company in healthcare, we price, pay and explain healthcare for payers, providers, and healthcare consumers. Zelis was founded on a belief there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us. We partner with more than 700 payers, including the top-5 national health plans, Blues plans, regional health plans, TPAs and self-insured employers, 1.5 million providers and millions of members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and an integrated pre-payment through payments platform to manage the complete payment process. For more information about Zelis, visit us at www.zelis.com and connect with us on LinkedIn.

About HealthCorum

HealthCorum, a Boston-based health data analytics company, is uniquely focused on identifying unnecessary care, optimizing referral patterns, and reducing wasteful spending. HealthCorum’s proprietary technologies combined with its AI-powered algorithms help to save money for healthcare organizations and take the complexity out of provider network optimization, offering a holistic view of provider efficiency and value-driven practice patterns. Work is done collaboratively with clients to accomplish their goals, achieve better outcomes, and reduce low-value care delivery. Visit www.healthcorum.com to learn more about our technologies and methodology.