Improving quality with cost-effective, accountable care

Sightlines Provider Intelligence is an analytics-driven platform that pinpoints opportunities for medically sound, financially effective interventions. It aggregates and analyzes data and prioritizes patients based on meaningful risk factors, including conditions, gaps in care, demographics, and compliance to quality standards. Armed with this knowledge, providers can improve results through effective patient engagements and population health management.

Mitigating risk and facilitating payment reform initiatives

Successfully managing alternative service finance systems will require a deep understanding of the risk affecting a population and impacting a provider’s bottom line. Our solution quantifies clinical and financial risk, predicts utilization needs, and forecasts future costs of care. Providers gain the strategic insight to evaluate the fairness of risk-based contracts and to minimize risk before it turns into avoidable utilization.

Optimizing practice performance and maximizing revenue potential

Measuring and demonstrating the efficiency of service delivery is crucial in today’s changing healthcare landscape. Our solution allows providers to quantify practice variation, identify areas for improvement, pinpoint high performance, analyze utilization leakage, and establish best practices based on cost-effective care patterns.  

Features and benefits

Sightlines Provider Intelligence enables clients to:

  • Stratify populations and prioritize patients for clinical outreach
  • Identify individuals likely to be hospitalized or at risk for high cost utilization
  • Measure cost and efficiency metrics  and compare physician performance to peer groups and national standards
  • Analyze network leakage at the specialty, provider, or claims level
  • Forecast cost and utilization needs based on accurate population risk assessment
  • Evaluate efficiency based on meaningful utilization metrics, including inpatient admissions and emergency room usage
  • Leverage easy-to-use dashboards and flexible drill down capabilities
  • Assess and demonstrate the effectiveness of care management initiatives  

For additional information or to schedule a product demonstration, contact us.