Over 3,500 Healthcare Practices Receive Gaps-in-Care Alerts at the Point-of-Care via Veradigm Payer Insights Solution
Veradigm (OTCMKTS: MDRX) announced that over 3,500 healthcare practices across the United States are now receiving gaps-in-care alerts through their Veradigm Payer Insights solution. The system integrates alerts directly into providers' electronic health records (EHRs), enabling them to address care gaps at the point-of-care.
Healthcare providers can earn approximately $100 per patient gap addressed through payer incentive programs. The solution benefits both payers and providers by improving patient outcomes, reducing staff burden, enhancing clinical decision-making, and improving claims acceptance rates.
For Medicare Advantage plans, closing care gaps can lead to significant savings through improved risk adjustment accuracy, reduced hospitalizations, and increased Star Ratings. The initiative represents Veradigm's ongoing effort to expand its network through payer/provider collaborations.
Veradigm (OTCMKTS: MDRX) ha annunciato che oltre 3.500 pratiche sanitarie negli Stati Uniti stanno ora ricevendo avvisi sulle lacune nelle cure attraverso la loro soluzione Veradigm Payer Insights. Il sistema integra gli avvisi direttamente nei registri elettronici delle informazioni sanitarie (EHR) dei fornitori, consentendo loro di affrontare le lacune nelle cure al punto di assistenza.
I fornitori di assistenza sanitaria possono guadagnare circa $100 per ogni lacuna nelle cure affrontata attraverso i programmi di incentivazione dei pagatori. La soluzione beneficia sia i pagatori che i fornitori migliorando gli esiti dei pazienti, riducendo il carico di lavoro del personale, migliorando il processo decisionale clinico e aumentando i tassi di accettazione delle richieste.
Per i piani Medicare Advantage, chiudere le lacune nelle cure può portare a risparmi significativi grazie a una maggiore accuratezza nell'aggiustamento del rischio, riduzione dei ricoveri ospedalieri e aumento delle valutazioni Star. L'iniziativa rappresenta il continuo impegno di Veradigm per espandere la propria rete attraverso collaborazioni tra pagatori e fornitori.
Veradigm (OTCMKTS: MDRX) anunció que más de 3,500 prácticas de salud en los Estados Unidos están recibiendo alertas sobre brechas en la atención a través de su solución Veradigm Payer Insights. El sistema integra alertas directamente en los registros electrónicos de salud (EHR) de los proveedores, lo que les permite abordar las brechas en la atención en el punto de atención.
Los proveedores de atención médica pueden ganar aproximadamente $100 por brecha atendida a través de programas de incentivos de pagadores. La solución beneficia tanto a los pagadores como a los proveedores al mejorar los resultados de los pacientes, reducir la carga del personal, mejorar la toma de decisiones clínicas y aumentar las tasas de aceptación de reclamaciones.
Para los planes de Medicare Advantage, cerrar las brechas en la atención puede llevar a ahorros significativos gracias a una mayor precisión en el ajuste de riesgo, reducción de hospitalizaciones y aumento de las calificaciones Star. La iniciativa representa el esfuerzo continuo de Veradigm para expandir su red a través de colaboraciones entre pagadores y proveedores.
Veradigm (OTCMKTS: MDRX)는 미국 전역의 3,500개 이상의 의료 기관이 이제 Veradigm Payer Insights 솔루션을 통해 치료 격차 알림을 받고 있다고 발표했습니다. 이 시스템은 제공자의 전자 건강 기록(EHR)에 직접 알림을 통합하여 치료 지점에서 치료 격차를 해결할 수 있도록 합니다.
의료 제공자는 지불자 인센티브 프로그램을 통해 해결된 각 환자 격차당 약 $100를 벌 수 있습니다. 이 솔루션은 환자 결과를 개선하고, 직원의 부담을 줄이며, 임상 의사 결정을 향상시키고, 청구 수용률을 높임으로써 지불자와 제공자 모두에게 이익이 됩니다.
메디케어 어드밴티지 플랜의 경우, 치료 격차를 해소하면 위험 조정 정확성을 개선하고, 입원율을 줄이며, Star Ratings를 높여 상당한 비용 절감으로 이어질 수 있습니다. 이 이니셔티브는 지불자/제공자 협업을 통해 Veradigm의 네트워크를 확장하려는 지속적인 노력을 나타냅니다.
Veradigm (OTCMKTS: MDRX) a annoncé que plus de 3 500 pratiques de santé à travers les États-Unis reçoivent désormais des alertes sur les lacunes de soins via leur solution Veradigm Payer Insights. Le système intègre des alertes directement dans les dossiers de santé électroniques (DSE) des prestataires, leur permettant de traiter les lacunes de soins au point de service.
Les prestataires de soins de santé peuvent gagner environ 100 $ par lacune traitée grâce aux programmes d'incitation des payeurs. La solution bénéficie à la fois aux payeurs et aux prestataires en améliorant les résultats pour les patients, en réduisant la charge de travail du personnel, en améliorant la prise de décision clinique et en augmentant les taux d'acceptation des réclamations.
Pour les plans Medicare Advantage, combler les lacunes de soins peut entraîner des économies significatives grâce à une meilleure précision de l'ajustement des risques, à une réduction des hospitalisations et à une augmentation des évaluations Star. Cette initiative représente l'engagement continu de Veradigm à élargir son réseau grâce à des collaborations entre payeurs et prestataires.
Veradigm (OTCMKTS: MDRX) gab bekannt, dass über 3.500 Gesundheitspraktiken in den Vereinigten Staaten jetzt über ihre Veradigm Payer Insights-Lösung Warnungen zu Versorgungslücken erhalten. Das System integriert Warnungen direkt in die elektronischen Gesundheitsakten (EHR) der Anbieter, sodass diese Versorgungslücken am Ort der Versorgung angehen können.
Gesundheitsdienstleister können durch Anreizprogramme von Zahlenden etwa 100 $ pro behandelter Lücke verdienen. Die Lösung kommt sowohl den Zahlenden als auch den Anbietern zugute, indem sie die Patientenergebnisse verbessert, die Arbeitsbelastung des Personals verringert, die klinische Entscheidungsfindung verbessert und die Akzeptanzraten von Ansprüchen erhöht.
Für Medicare Advantage-Pläne kann das Schließen von Versorgungslücken zu erheblichen Einsparungen führen, indem die Genauigkeit der Risikobewertung verbessert, Krankenhausaufenthalte reduziert und die Star-Bewertungen erhöht werden. Die Initiative stellt Veradigms fortlaufende Bemühungen dar, sein Netzwerk durch Zusammenarbeit zwischen Zahlenden und Anbietern auszubauen.
- Integration with 3,500+ healthcare practices demonstrates strong market adoption
- Revenue generation opportunity of $100 per patient gap for healthcare providers
- Solution improves claims acceptance rates and reduces administrative costs
- Creates additional revenue stream for practices through payer incentive programs
- Actual incentive payment values may vary from the $100 average stated
Veradigm Network gap closure solution improves patient outcomes and can deliver measurable benefits for both healthcare payers and providers
With the seamless integration of actionable insights, healthcare providers are empowered to address risk and quality care gaps at the point-of-care, leading to enhanced clinical decision-making, better patient outcomes and improved claims acceptance rates. In addition, healthcare providers have streamlined access to payer incentive programs, where they can earn on average
"Veradigm Payer Insights has made it incredibly easy for us to identify and close care gaps while unlocking significant financial incentives," said Sneha Patel MPAS, PA-C - Chief Operating Officer of Metroplex Medical Centers in
"By embedding risk and quality-driven insights into provider workflows, we are fostering a more interconnected healthcare ecosystem that enhances efficiency and improves patient outcomes," said Jay Bhattacharyya, Senior Vice President & General Manager of Veradigm. "The continued expansion of the Veradigm Network, including the growth of Veradigm Payer Insights, marks a significant step in closing the gap between payers and providers, delivering tangible value to both."
Taking action to address care gaps can translate into financial benefits for both payers and providers while delivering value to the patients within their own provider’s care plan. For example, for Medicare Advantage plans, closing gaps in care can result in significant savings, per member each year, by improving risk adjustment accuracy, reducing avoidable hospitalizations, and increasing Star Ratings. For providers, their participation in payer incentive programs is simplified through Veradigm Payer Insights, yielding incentive payments per month for many practices*, providing an additional revenue stream while improving patient care.
Veradigm is working to expand the Veradigm Network through payer/provider collaborations and deliver solutions that empower healthcare stakeholders to work together more effectively, reduce administrative burden, and drive better patient health outcomes.
*Incentive payments administered by applicable payers; actual dollar value may vary.
About Veradigm®
Veradigm is a healthcare technology company that drives value through its unique combination of platforms, data, expertise, connectivity, and scale. The Veradigm Network features a dynamic community of solutions and partners providing advanced insights, technology, and data-driven solutions for the healthcare provider, payer, and biopharma markets. For more information about how Veradigm is fulfilling its mission of Transforming Health, Insightfully, visit www.veradigm.com, or find Veradigm on LinkedIn, Facebook, Twitter, Instagram, and YouTube.
© 2025 Veradigm LLC and/or its affiliates. All rights reserved. Cited marks are the property of Veradigm LLC and/or its affiliates. All other product or company names are the property of their respective holders, all rights reserved.
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Source: Veradigm
FAQ
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What are the main benefits of Veradigm Payer Insights for healthcare providers?
