Integrating Quality and Risk Operations In Health Plans

Integrating quality and risk operations is vital for healthcare payers to enhance member outcomes, financial performance, and efficiency. This paper examines the benefits and challenges of merging these functions.

Integration ensures members receive timely, effective care, improving health outcomes. Without it, member and provider fatigue, inefficiencies, and missed care gaps occur, highlighting the need for a unified strategy.

Health plans should establish a strategic framework, consolidate data, and unify quality and risk departments. A robust platform offers insights into performance and optimization.

By integrating these operations, payers can showcase their value in quality, efficiency, and cost.

Vendor:: Inovalon, Inc.
Posted:: Oct 25, 2024
Published:: Oct 22, 2024
Format:: PDF
Type:: White Paper

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