Improving Care with Better Data
A Case Study on How One Payer Enhanced Star Ratings and Risk Adjustment Through Clinical Data Integration
See how MediVu can Ease Clinical Data Integration
Case Study Executive Summary
The largest health insurer in one Southeastern state set out to maximize its Star Ratings, close care gaps, and ensure proper risk adjustment reimbursements. Recognizing the need for comprehensive clinical data to supplement claims information, they partnered with MediVu Inc. to improve data quality, reduce administrative burden, and enhance provider relationships. This case study illustrates how MediVu's clinical data exchange, data normalization, and partnership mindset helped them overcome data integration challenges, resulting in improved Star Ratings, accurate risk adjustment and reimbursement, enhanced member outcomes, and operational efficiency — all while fostering a strong partnership with providers.
“One thing that you [MediVu] bring to the table is making that connectivity easy for both the hospital / provider and for us. So, you're really taking the brunt of that work, and making it much easier.” - Clinical Data Manager