We understand that an efficient healthcare system requires collaboration across payers, providers, employers, and the government—and that those interactions influence both the quality and cost of care. By aligning payment, risk, and quality of care, we help our clients achieve real value, no matter how complex their business goals.
Commercial, Medicare, and Medicaid lines of business all face their unique challenges in a rapidly changing market. The key to success, however, remains constant: smart decisions based on sound data. Whether you are looking to improve payment accuracy, risk adjustment, care quality, or performance analytics, Verscend has the most complete set of solutions to meet your needs, backed by decades of experience and our passionate commitment to your success.
Provider organizations are moving steadily into value-based healthcare delivery and payment programs. But successful risk management is as challenging as it is essential. Verscend Performance Analytics solutions help provider organizations understand and mitigate clinical and financial risks, delivering the insights you need to design and refine high-impact performance analytics management strategies.
Employees are the lifeblood of every company. How do you ensure that programs appropriately identify and address employee health and productivity? Are you budgeting and spending resources wisely? How do you best mitigate risks, and who do you partner with for help? Verscend Performance Analytics solutions provide the information and objective assessment you need to shape and refine benefit design and execution.
Government agencies, in particular the Centers for Medicare and Medicaid Services (CMS), face unique challenges in measuring and managing healthcare quality, optimizing risk adjustment programs, and preventing fraud, waste, and abuse. Verscend Government Solutions (VGS) provides multiplatform solutions that drive effective and efficient management and stewardship of mission-critical programs. We utilize the latest technology and processes that are designed to protect and engage by optimizing data insights and designing smarter solutions.
Through our affiliate MediConnect, we retrieve, digitize, index, code, and securely deliver thousands of medical records from millions of facilities and provider locations in the United States, Canada, and Mexico to support a range of needs. Our patented technology and exceptional team of experts help life insurance carriers and legal providers reduce retrieval times, eliminate errors, and lower costs—all while establishing billable and direct-bill expenses.