Valence Health, a data analytics and management solutions vendor, helps its 10,000 independent physicians use economies of scale that come with clinical integration – even when they lack a common health care information platform. SAS, the leader in business analytics software and services, provides Valence the business intelligence – patient-centered, data-focused support – to help doctors and hospitals manage risk, strengthen finances and improve patient care.
Using SAS® Business Analytics and SAS® Web Report Studio, Valence created a tool that accesses a medical community's billing system and automatically pushes data to Valence on a scheduled basis. Valence uses SAS to scrub the data, apply appropriate clinical care guidelines and then pass information back to physicians.
"The ROI for doctors is enormous," said Todd Stockard, Senior Vice President of Financial and Data Management Services at Valence Health. "By being clinically integrated through our approach, physicians have been able to increase compensation (fees and P4P) from health plans by 15 to 20 percent. Before, individual doctors had no leverage in negotiations. In one region, doctors were getting 110 percent of Medicare prior to clinical integration. Once they cleared regulatory hurdles and negotiated together, they received 130 percent of Medicare. Clinical integration distributes financial risk and allows doctors to compete for more market share, which also provides patients with better access to informed care."
Physicians using the Valence tools also can mine data to track patients across providers and assure, for example, that childhood immunizations are up to date. "We've turned our service from a retrospective view of where mistakes might have occurred to a proactive alert system that helps keep the population healthy – all with SAS," said Stockard. "When we started, our vision was that health care providers needed to take control of their destinies. US health care reform is saying the same thing 15 years later. The concept of accountable care organizations (ACO) and pushing more accountability back to the providers is what our business model is all about."
Valence Health delivers patient-centered, data-driven solutions for quality care and population management. Recognized as a market leader in the area of clinical integration, Valence Health offers unique solutions that combine data aggregation and sophisticated data analytics with Web-based reporting tools. We also have an extensive history of managing risk, and can successfully position your organization for future payment reforms such as bundled payments, medical home models, and ACOs.
SAS is the leader in business analytics
software and services, and the largest independent vendor in the business intelligence market. Through innovative solutions delivered within an integrated framework, SAS helps customers at more than 50,000 sites improve performance and deliver value by making better decisions faster. Since 1976 SAS has been giving customers around the world The Power to Know® .