Predictive Analytics and Value-Based Care: Defining Value

We’ve covered predictive post-acute analytics in practice and tackling the challenges of the Triple-Aim. Now it’s time to bring it home by defining the value created by predictive analytics in the post-acute space. Like any investment of time and money, it’s important to be clear about the results of those investments.

SNF Provider Perspective

Advanced analytics can help providers demonstrate their value to payers. Improving the quality of care improves the reputation of the provider in the community and having data to tell that story helps show that it’s happening, and these improvements are real and measurable.

It also benefits payers to know which providers can demonstrate their value and performance in ways that are quantifiable and clear.

Healthcare Continuum Perspective

We’ve found that users of our Data Integrity Audit have been able on average to increase their reimbursement by $4.16 per resident per day by catching coding errors and inconsistencies. Imagine that change in reimbursement of $4.16 multiplied across a continuum of providers. That’s where these analytics start making an impact at scale.

If providers speak in clinical outcomes and payers speak in dollars and cents, advanced analytics allow the payer and provider to speak a common language. It’s important to invest in the analytics that bring these relationships together and create a path forward. It’s also important to share stories of those that are succeeding so the adoption rate of these advanced analytics increases and the need for demonstrable ROI is reduced as the value of these analytics investments becomes a known quantity.

Analytics Provider Perspective

Analytics vendors and SNF providers that collaborate effectively can demonstrate the return on their investment in post-acute analytics in many ways. It’s important to partner with vendors who can provide you with the right information and the right experts to avoid analysis paralysis.

The more literal, or ‘hard ROI,’ can be demonstrated in dollars and cents, like that additional $4.16 per resident per day in reimbursement. That’s clear and demonstrable. The more elusive to quantify ‘soft ROI’ can be found in the value of better care planning as felt by the resident and families, improved Care Compare ratings, and clinical quality improvements that payers notice.

[ More on the ROI of Data Analytics for SNFs ]

Predictive Analytics and Value – In Summary

This blog on predictive analytics and value-based care is inspired by a recent panel session – Predictive Analytics to Power Up SNF Performance – and aims to encourage excitement for and adoption of advanced analytics in the post-acute space. Thank you to my colleagues and fellow panelists Bob Latz (Trinity Rehab Services), Majd Alwan (LeadingAge), and Jane Moffett (Net Health) for contributing to this conversation.