POPULATIONCOMPASS

Leveraging health plan claims data, FHG's AI solution delivers a referral score for each provider to reveal intentional network leakage patterns. With the addition of EHR/Clinical data, the FHG Compass Platform enables Health Plans to construct and optimize clinical networks to support Medicare Advantage, I-SNP/D-SNP, C-SNP, Managed Medicaid, and more. When paired with existing health plan Care Coordinators, health plan members are supported by a high-quality, low-cost care pathway... Identify areas of network leakage/retention/steerage; spotlight origin of patient outflow to create care coordination priorities.

Primary location: Madison United States