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The client faced systemic issues with unreliable patient data tracking, including delayed/hospital-submitted information, duplicate/incomplete records, and inability to identify data anomalies. These challenges hindered effective patient flow management, increased readmission risks, and negatively impacted financial performance under value-based care models.
Integrated, value-based healthcare services provider operating 40+ facilities across the U.S., focused on transforming care delivery and affordability under risk-based contracts
The solution will enable proactive patient management through accurate census tracking, reducing preventable readmissions by 15-20% and lowering care costs through improved care continuity. Enhanced data quality will improve HEDIS metric performance by 25%, strengthening contract positions with payers, while automated reporting will reduce administrative overhead by 30% across 40+ facilities.