As health care moves toward value-based care, providers face greater risks in managing their patients, especially in the setting of an accountable care organization (ACO). As their contracts expand, the complexity of care management also increases. Within their limited resources, they need tools to provide better care at lower costs. Such tools rely heavily on data and information to accurately calculate treatment estimates, revenue projections, and resource utilization forecasts in the face of highly complex value-based contracts that sometimes require actuaries. Additionally, providers are incentivized through delivery networks that act as plans, and they get better reimbursements from CMS for higher HEDIS and STAR ratings. In light of this, they are motivated to maintain high-quality scores.

Reports reveal that inequity in healthcare spending incurs $240 billion in avoidable expenditure, which could be utilized on the underserved population by leveling up the playing field. Our interventions enable ACOs to help the underserved and optimize costs for quality care. We enable providers with advanced technology that informs them on how and when to intervene in their patients’ care journey. Tredence’s HealthEM.AI is a technology partner for ACOs looking for ways to close the gaps in healthcare access in the general populace and reduce care inequity.