VBC Intelligence

1. The Challenge

Details

2. Our Approach

Details

3. Benefits

Details
Technical

The VBC Intelligence product helps healthcare organizations improve performance across payer agreements by understanding what is driving results, identifying where to act, and guiding improvement. It combines focused analytics with guidance informed by Health Catalyst’s 18+ years of improvement experience, reducing the need to build and maintain analytics internally or invest in a broad enterprise value-based care platform.

VBC Intelligence is not a single dashboard or algorithm. It supports a connected workflow from trusted claims data and opportunity identification through prioritization, provider and member action, and outcome measurement.

Core modules

  • Executive Overview. Monitor membership, cost, utilization, risk, quality, and performance across the enterprise and individual payer agreements.
  • Opportunities. Identify and prioritize cost, quality, utilization, and performance drivers based on their potential clinical and financial impact.
  • Care Transformation. Compare provider performance and connect contract results to provider-level quality, cost, utilization, risk, and care-gap insights.
  • Network Management. Evaluate variation, leakage, spend, and utilization by network tier, service line, provider, and site of care.
  • Population Stratification. Segment attributed populations by risk, conditions, utilization, social needs, and care modifiers to identify high-, rising-, and impactable-risk populations.
  • Data Explorer. Access the details behind reported performance to validate results and conduct deeper analysis.

The Challenge

Health systems that have acquired ambulatory care practices—and independent ambulatory practices alike—face tremendous financial pressures and challenges to financial sustainability. If you’re an ambulatory care leader, you’re looking to improve the efficiency of the services you provide and find cost savings without negatively impacting patient outcomes, the community, or the integrity of the organization. Yet it can be difficult to access data that brings actionable insights to inform decisions to improve patient access, panel management, provider productivity, referral management, or quality scores.

Our Approach

The VBC Intelligence product helps healthcare organizations improve performance across payer agreements by understanding what is driving results, identifying where to act, and guiding improvement. It combines focused analytics with guidance informed by Health Catalyst’s 18+ years of improvement experience, reducing the need to build and maintain analytics internally or invest in a broad enterprise value-based care platform.

VBC Intelligence is not a single dashboard or algorithm. It supports a connected workflow from trusted claims data and opportunity identification through prioritization, provider and member action, and outcome measurement.

Core modules

  • Executive Overview. Monitor membership, cost, utilization, risk, quality, and performance across the enterprise and individual payer agreements.
  • Opportunities. Identify and prioritize cost, quality, utilization, and performance drivers based on their potential clinical and financial impact.
  • Care Transformation. Compare provider performance and connect contract results to provider-level quality, cost, utilization, risk, and care-gap insights.
  • Network Management. Evaluate variation, leakage, spend, and utilization by network tier, service line, provider, and site of care.
  • Population Stratification. Segment attributed populations by risk, conditions, utilization, social needs, and care modifiers to identify high-, rising-, and impactable-risk populations.
  • Data Explorer. Access the details behind reported performance to validate results and conduct deeper analysis.

Benefits

  • Unified performance visibility. Understand results across payer agreements, provider networks, populations, and members.
  • Proactive contract management. Identify emerging risks and opportunities early enough to act during the performance year.
  • Improvement-informed prioritization. Focus teams on the actions with the greatest potential clinical and financial impact.
  • Provider alignment and accountability. Give leaders and providers transparent, defensible data for performance conversations.
  • Smarter resource allocation. Direct limited resources toward the providers, populations, and members most likely to benefit.
  • Measurable improvement. Connect interventions to clinical, operational, and financial outcomes to understand what is working.

Proven Outcomes

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