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Solution Brief - Payer Provider Collaboration

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TM Driving Impact at the Nexus of Health, Value, and Happiness SPHAnalytics.com info@SPHAnalytics.com | 866-460-5681 Measure & Analyze Follow-up surveys to cohorts to test their recollection of messages and any actions taken to improve their health or close care gaps WHO? WHAT? HOW? REFINE? Message Design Variations on core message for each identified cohort group Omni-channel Outreach • Mail • Email • Text • Phone – IVR • Phone – Live Agent Stratify and Build Cohorts • Level of engagement • Disease conditions • Risk factors • Member experience Improve Member Health Improve Scores/Ratings Strengthen Member Loyalty Increase Provider Satisfaction 1 billion quality computations per year 10 million patient lives impacted 60,000 providers supported 350+ health plans served 300+ quality measures in library 50+ EMR live integrations Solutions for Health Plans SPH Population Care solutions help health plans to monitor, track and improve quality outcomes for their member populations by engaging providers with actionable information. The SPH solutions ingest claims and clinical data from multiple EHR systems to calculate and deliver quality measures as well as care gaps and risk stratification. Quality measures include certified HEDIS, ACO, MIPS and custom measures. Payer Provider Collaboration: Flexible Options for Population Health ©2020 Symphony Performance Health, Inc. All Rights Reserved. 20.15.1 HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). Clients in all States Years + "SPH is the best of any platform I have used in my 20-year career for actionable, practically usable clinical information." Population Health Transformation Manager Midsized Payer Flexible Solutions Payers use SPH Solutions to engage with providers and members and improve care in several ways: • Collect supplemental clinical data automatically from providers to gain more complete and timely views of patients' conditions • Use expanded clinical insights for computing HEDIS measures • Provide all-provider care gap information at the point of care, at-scale across an entire network • Support mitigation and prevention efforts by presenting always-on, comprehensive risk stratification to providers • Satisfy 21st Century Cures Act mandate with Population FHIRstation, a FHIR based interoperability platform Customized for Your Needs Implementations for SPH Health Plan customers are customized to fit the unique needs of the project and payer organization. • Administrative Dashboard Views • Care Management Cohort Creation • Actionable Clinical Views • Member/Patient Level Data • Smart Member/Patient Outreach Learn More CAHPS Measures • Care Coordination • Doctor Communication HEDIS Measures • Diabetes • Osteoporosis • Hypertension • Rheumatoid Arthritis HOS Measures • Falls Risk • Monitoring Physical Activity • Improving Bladder Control WHY? Address Health Plan Challenges

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