At Praventa, we cater to a wide range of clients who prioritize quality, comfort, and safety in their everyday environments. Whether you manage a business or your home, we have tailored solutions for you.
We serve as an extension of the payer’s strategy team, delivering end-to-end solutions that not only optimize HEDIS, STAR, and risk adjustment metrics, but also enhance member trust and engagement by leveraging the clinical goodwill of providers.
Advancements in data analytics are reshaping how payers manage cost and quality. By leveraging population health analytics and risk stratification, plans can proactively identify care gaps, service overutilization, and emerging risk within their covered populations—enabling smarter intervention strategies that lower medical loss ratios and improve quality performance.
We start with deep claims and EMR analytics to uncover care gaps, quality improvement opportunities, and overlooked reimbursement pathways. Then, our clinical team executes the interventions—delivering care on your behalf, through your existing infrastructure, and under your NPI.
By using advanced analytics tools within revenue cycle workflows, providers can uncover overlooked reimbursement opportunities, reduce care variability, and identify gaps tied to CMS programs like CCM and AWVs. These insights allow leadership to make data-informed decisions that drive both clinical and financial improvements without adding to staff burden.
We combine population-level insights with scalable, clinician-led outreach to close gaps, reduce total cost of care, and boost performance on quality and financial benchmarks.
Risk stratification is foundational to successful population health management. By categorizing patients by acuity and care needs, ACOs can prioritize high-risk individuals for proactive outreach—reducing admissions, closing gaps, and generating shared savings. These analytics-driven strategies not only improve patient outcomes but help ensure appropriate resource allocation across networks.
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