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Azara Cost & Utilization

Uncover resource utilization trends and drivers of high costs

Azara Cost & Utilization (ACU) is a powerful addition to the Azara DRVS population health platform which allows provider organizations to confidently manage their value-based care arrangements with analytics that leverage Azara’s ability to aggregate and integrate claims and clinical data. Through the use of advanced analytics and interactive visualizations, users can identify trends and outliers—from the population level down to the patient level—that are driving costs and contributing to excessive utilization. ACU also provides a view of network leakage, identifying in- and out-of-network services to deliver the information needed to manage provider networks more efficiently and effectively.

Azara Cost & Utilization Enables Your Organization to:

  • Improve success in value-based care contracts through identification of high-cost/high-utilization patients who can benefit from care management or other more cost-efficient forms of care.
  • Understand costs across all components of the provider network and identify opportunities for improvement at the network, practice, and provider levels.
  • Recognize avoidable inpatient and emergency department (ED) episodes and implement remediation plans where appropriate.
  • Risk stratify patient populations utilizing advanced risk algorithms.
  • Gain insight into a network’s usage and leakage patterns—identifying opportunities to expand the network and manage referral trends to help ensure providers are referring in-network when possible.
ACU ED Utilization 3.20.2023
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Features & Benefits:

Features:

  • Data Visualization and Reporting: Interactive dashboards with visualizations to track performance at an aggregated level down to the patient detail level.
  • Emergency and Inpatient Utilization Reporting: Provide insight into costs and utilization for emergency and inpatient admissions while identifying potentially preventable admissions and highlighting areas for improvement.
  • Network Leakage Reporting: Monitor costs and utilization for encounters outside of the defined health system to gain insight into frequently visited locations, specialties, and providers with a high volume of leakage.
  • Data Detail Export: Drill down into detailed data exports.
  • Claim Lag Reporting: Understand claim cycle time from date of service to payer processing and receiving the claim in system—identifying which months are ready for reporting and those with data being processed.

Benefits:

  • Lower Costs Per Member: Uncover opportunities for primary care providers to impact member utilization.
  • Decrease Inappropriate Utilization of Healthcare Facilities: View trends for potentially preventable admissions to target patient populations with frequent utilization.
  • Increase Visits to In-Network Providers: Identify areas of opportunity to increase visits to providers in your health system to increase revenue and provide members with a seamless experience by seeing providers at the same organization, promoting continuity of care.
  • Monitor Value-Based Care Contract Performance Metrics: View measures and track progress toward value-based care outcomes.
  • Understand Risk of Member Population: Compare risk distribution across your attributed members and quickly identify highest risk/highest cost patients.

Interested in learning more about Azara Cost & Utilization?

Azara Cost & Utilization is a separate application that leverages the data within Azara DRVS.
It requires setup, configuration and a separate subscription.

Contact your practice, PCA/HCCN, Azara Representative or solutions@azarahealthcare.com for additional details, including pricing.

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