IntelligentPayer Solutions

You have an expansive provider network with whom you are proud to partner. Your provider partners are generating vast amount of clinical data every day that offer incredible opportunities to improve member health outcomes, clinical care delivery & reduce per-member care costs. However, the data is most likely latent & spread across disparate technology systems.

With FIGmd's intelligent payer solutions, you can seamlessly gather data from your provider network spread across multiple data systems to drive health outcomes, cost & care optimization opportunities.

Unleash your provider network,

optimize health outcomes, costs & clinical care delivery

Scalable Interoperability and Connectivity Solutions
Medical Record Retrieval
Gap Closure Management

Acquire

Data From Across Your Network

Converge your clinical narratives (structured & unstructured) across distributed systems for meaningful visibility

Support

For FHIR & Many More Industry Formats

Support for your member information in CCDA, PDF, XML, HL7, .CSV, FHIR and custom flat files

Access

250+ Health IT Systems

Easily acquire clinical and claims data with smart connectivity solution that connects with hundreds of Health IT systems

Automate

Medical Record Retrieval Process

Get standardized, complete medical records from FIGmd's EHR Interoperability solution to view member history & reduce administrative burden

Improve

Payer-Provider Collaboration

Simplify requests and retrievals of medical records to reduce provider abrasions and meet quality and compliance requirements

Optimize

Chart Chasing Costs

Reduce the turn-around time between intra/inter departmental medical record requests & review through a self-service, web-based portal

Identify

Care Gaps Across Your Network

Get timely, automated, not-met condition patient reports through 250+ health IT systems

Reconcile

Care Gaps & Get Automated Reports

Get actionable insights at the point of care to your providers via bi-directional alerts within the existing workflows & avoid duplicate encounters

Empower

Your Payer-Provider Network

Uplift the financial health of your plans, improve payer-provider partnerships, and improve quality of care as well as plan ratings

Enhance

Your Health Plans NCQA Ratings

Engage with FIGmd’s NCQA compliant, HEDIS e-measure solution to benefit from access to clinical data of 160+ EHRs as standard supplemental data

Integrate

Data from Multiple Sources

Deploy intelligent automated solutions that can integrate data from multi-provider locations to eliminate "most-likely providers" & "record-chasing"

Identify

Gaps Sooner for Remedial Actions

Achieving NCQA certification, completing quality roadmap to provide standard supplemental data & reduce the risk of audit

Boost

Predictive & Advanced Analytics

Tap into hidden, distributed data to retrieve a wide range of connected clinical data types across your patient population & enable unparalleled predictive analytics

Power

High Performance Networks

Dive deeper into our analytics driven products to manage your high performance networks, value based contracting models and restructure better pay for performance payment models

Manage

Healthcare Utilization Goals

Stay on top of your population health management goals, risk adjustment programs, pre-authorization, hospital readmission targets

Benefit

From our Provider & Medical Society Network

Leverage partnerships with Specialty Medical Societies to enable the use of their specialty quality measures

Build

Better Contracting Programs

Get access to speciality specific quality measures to establish superior contracting programs, develop benchmarking and composite scoring calculators

Power

Provider Collaborations

Manage referrals, set benchmarks to develop guidelines and measure performance systems for enhanced provider collaboration, impact cost of care

HEDIS Support
Intelligent Analytics
Clinical Quality Management