Analytics & AI – Praventa Health

Analytics

Praventa Analytics turns data into actionable insights

Value-based care requires a thorough understanding of quality metrics, HCC risk scores, cost and utilization of care in your population, patient engagement and outreach strategies, and more. At Praventa, we leverage that information to analyze trends, spot opportunities, and act on insights across the care continuum.

Data Driven Decision Making

We mitigate risk by applying Intelligent Automation across all of our solutions. Our Rules Engine automatically populates work queues that help our team focus and act on the right information at the right time.

With an Ai-enabled platform, we provide real-time insights on at-risk populations in need of care. We proactively identify members in your population via AI-modeling in order to intervene earlier in the treatment process and positively impact their health outcomes.

Manage Patient Populations

• Stratify patients by prospective, concurrent, and rising risk to prioritize high-impact clinical interventions
• Identify and close care gaps tied to quality metrics and risk adjustment opportunities
• Reduce avoidable ED, inpatient, and low-value service utilization in attributed VBC populations

Engage and Align Physicians

• Track and share performance benchmarks on cost, quality, and outcomes across physician networks
• Provide actionable data to help physicians succeed in value-based models and improve RAF and HEDIS scores
• Strengthen provider alignment around shared savings, quality incentives, and care coordination goals

Optimize Utilization and Care Value

• Translate value-based contract benchmarks into actionable utilization and cost targets
• Identify service areas with overuse or underperformance affecting quality and shared savings
• Design and implement clinical interventions that reduce unnecessary utilization while protecting patient outcomes

Drive Financial Performance

• Analyze and optimize risk-based contract performance across payers and populations
• Understand the financial impact of shifting from fee-for-service to value-based reimbursement
• Set achievable savings targets, monitor ROI on interventions, and track progress toward shared savings and incentive payments

Robust Analytics

Praventa Health leverages an informatics platform that analyzes numerous data sets, including insurance claims, device data, and electronic medical record (EMR) data, to ensure optimal care is provided

NCQA Population Health Management Pre-validated status

The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization that helps health plans and provider organizations improve care quality and measurement.

NCQA accredits and certifies a wide range of healthcare organizations and recognizes clinicians and practices in key areas of performance. It is known for its commitment to rigorous standards and performance measures, such as HEDIS (Healthcare Effectiveness Data Information Set) measures.

NCQA accreditation demonstrates an organization’s ability to deliver high-quality services and establish trust with patients and regulatory bodies. For health plans or providers seeking NCQA accreditation, using prevalidated digital tools can help meet specific requirements.

-Ensures all data collected by Praventa is analyzed to industry standards.

-Demonstrates that the platform’s reporting capabilities are aligned to national quality measures.

-Further validates that Praventa Health patient engagement tools and clinical workflows are evidence-based and follow best practices.

-Supports population health initiatives, especially for organizations who wish to become NCQA accredited themselves.

Comprehensive security expands your organization's data capabilities

Praventa has a Business Associate Agreement (BAA) in place with every provider to protect your patients’ information under HIPAA and utilizes enterprise-grade best practices to protect our customers’ data. The BAA ensures that your patient data will remain confidential and not shared with other entities. Seamless integration and interoperability: fostering cohesive and integrated care coordination. Praventas’s cloud-based software enables integrated connectivity with electronic health records (EHR), data exchanges, remote monitoring devices, and mobile applications – for an inclusive patient view throughout the care journey. EHR integration helps you utilize existing patient data Praventa seamlessly imports patient data from your EHR, populating critical clinical information like conditions, ICD-10 codes, allergies, medications, labs, and vitals. Easily upload care plans to your EHR, streamlining the claims submission process. Our current integrations include Athenahealth, Advanced MD, Azalea Health, DrChrono, Elation, Epic, and Veradigm. We consistently expand our network of integration partners and enhance capabilities to better serve your needs.