🚀 Digital twins are revolutionizing population health management, especially for companies without direct access to payer data. By creating virtual models of patients and populations, digital twins allow for the simulation of health scenarios, offering insights into how different interventions might impact outcomes. This approach is a game-changer in analyzing social determinants of health (SDOH), enabling companies to address health disparities and improve community wellness. Digital twins also offer a privacy-preserving way to utilize synthetic data, ensuring compliance while unlocking valuable insights. With the ability to test interventions before real-world implementation and fill data gaps, population health companies can innovate and collaborate more effectively than ever before. In a world where data access can be a challenge, digital twins provide the edge needed to drive meaningful change in healthcare. 🌐 #DigitalTwins #PopulationHealth #HealthcareInnovation #SyntheticData Reference: https://lnkd.in/gmNffX_s
Synergy 3C - The Clinical Consulting Cooperative
Hospitals and Health Care
The ideal support partner for organizations to create & grow dynamic, results driven Value-Based Care programs
About us
Synergy 3C – The Clinical Consulting Cooperative, LLC – is a value-based care (VBC) consulting organization located in the Nashville, TN, area serving VBC startups and established businesses across the United States. We come alongside clients to develop and operationalize innovative VBC concepts as well as transform existing VBC services. S3C consultants are deeply experience professionals in value-based care who help clients develop, scale and implement profitable patient-centric care programs that embody the objectives of the Triple and Quadruple AIM. Our clients are able to drive innovation into better patient outcomes, lower care costs, and business profitability.
- Website
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https://www.thesynergy3c.com/
External link for Synergy 3C - The Clinical Consulting Cooperative
- Industry
- Hospitals and Health Care
- Company size
- 11-50 employees
- Headquarters
- Nashville
- Type
- Self-Owned
- Founded
- 2021
- Specialties
- Clinical Program Modeling, Clinical Analytics, Business Intelligence, Clinical Education and Training Programs, Clinical Operations and Support Services, Value Based Care Business Operations, Quality Assurance, Program Compliance, and Technology Support Solutions
Locations
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Primary
Nashville, US
Employees at Synergy 3C - The Clinical Consulting Cooperative
Updates
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💡Unlocking ROI through Health Care Navigation in Medicare Advantage Integrating health care navigation into Medicare Advantage plans isn’t just about better care—it's a game-changer for ROI! 🚀 ✅ Boost Efficiency: Streamlined processes mean lower costs and optimized resource use. ⭐ Elevate Star Ratings: Happy, engaged members = higher ratings and better incentives. 🔒 Mitigate Risks: Proactive care reduces complications and hospital readmissions. 📊 Leverage Data: Drive continuous improvement with insights from real-time health data. And the best part? Seniors receive personalized, cost-effective care, leading to healthier outcomes and lasting loyalty. 🎯 Ready to transform your Medicare Advantage plan? Give us a call to start integrating health care navigation today! #HealthCare #MedicareAdvantage #ROI #HealthInnovation #PatientEngagement Reference: https://lnkd.in/gw8MFbHk
Navigating the future: The crucial role of health care navigation for Medicare Advantage plans
risehealth.org
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We are proud to share that our CEO, Becki, has been honored as a listee in Marquis' Whos Who and more specifically a featured professional in Marquis' Who's Who of Professional Women. Becki is her name, blazing trails is her game! She is driven by a personal mission to leave healthcare better than she found it!
REBECCA “BECKI” BAKER - Who’s Who of Professional Women
https://whoswhoofprofessionalwomen.com
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The Future of Telehealth: Navigating Changes and Embracing Opportunities As we look towards 2025, significant changes are on the horizon for telehealth services. Here’s why telehealth remains crucial: ▪ Accessibility: Convenient care from home, benefiting rural and underserved communities. ▪ Efficiency: Reduced infrastructure needs, enabling providers to manage more patients. ▪ Continuity: Regular monitoring of chronic conditions and access to specialists. ▪ Flexibility: Better work-life balance for providers and extended service reach. ▪ Satisfaction: Increased patient engagement, safety, and reduced disease exposure. ▪ Stability: Consistent policies and billing codes are essential for sustainable services. Telehealth is more than a temporary solution; it's a transformative approach to healthcare. Let's advocate for the flexibility and innovation needed to keep it thriving! 🚀 #Telehealth #HealthcareInnovation #FutureOfHealthcare #PatientCare #HealthcarePolicy
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Oracle Health's initiatives are revolutionizing healthcare by aligning with the Quadruple AIM, enhancing patient experience, improving population health, reducing costs, and transforming provider work life. May this dedication to enhanced provider efficiency and satisfaction -which in turn enhances the patient's care experience - take HOLD across the spectrum of care! The groundbreaking Oracle Clinical Digital Assistant leverages AI to automate routine tasks and streamline documentation, saving clinicians an exciting 4.5 minutes per patient and cutting daily documentation time by 20%-40%! This innovation reduces administrative burden, allowing more focus on patient care and leading to better clinical outcomes. By reducing clinician burnout and improving workflows, Oracle Health is creating a more efficient, sustainable, and satisfying healthcare environment for everyone. #HealthcareInnovation #QuadrupleAIM #PatientExperience #HealthcareEfficiency #ProviderSatisfaction #OracleHealth #ClinicalDigitalAssistant #FutureOfHealthcare #HealthTech #BurnoutPrevention Reference: https://lnkd.in/gae3zYeP
Oracle Health's EHR mission: 'Get rid of the clicks'
beckershospitalreview.com
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Healthcare payers and providers exchange billions of claims each year, and the volume is rising. Effective revenue cycle management (RCM) and robust clearinghouses are key to managing this boom. Here's why: ▪ Increasing Claim Volumes: The number of medical claims rose by 11% from 2022 to 2023, reaching 55.1 billion. ▪ Role of Clearinghouses: Streamline claim submissions and reimbursements, easing the administrative burden on providers. ▪ Electronic Claim Submission: Reduces manual errors and increases efficiency with HIPAA-compliant processes. ▪ Comprehensive Services: Offer claim scrubbing, batch processing, transmission to multiple payers, and denial management. ▪ Compliance and Security: Ensuring HIPAA compliance and data protection is crucial. A strong RCM partner and effective clearinghouse can enhance operational efficiency, reduce costs, improve patient satisfaction, and ensure financial stability. Give us a call today for a deeper dive into RCM in value-based care! #Healthcare #RCM #ValueBasedCare #RevenueCycleManagement #Clearinghouses #Compliance #Security
Synergy 3C - Value Based Care Consulting
thesynergy3c.com
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Heads up ACO's! Patient attribution contestation methodology is vital! Identifying and removing wrongly attributed members in an ACO ensures more accurate reflection of your organization's overall effectiveness in care delivery. Specifically, it paves the way for more appropriate resource allocation and improvement of your care coordination/care delivery effectiveness. Thanks Zach Davis - this is a good playbook!
The question no one asks me. Zach, does our ACO need a contestation process? Yes, here's why. For an ACO, contestation is the ability for an ACO to challenge or dispute members they believe are falsely attributed to the ACO from a payer partner. On the flip side, an ACO can also identify members that are seeing their providers but not being attributed. Wrongly attributed members are no longer influenced by the ACO's primary care providers, network, and care coordination efforts and should be removed from the rosters as quickly as possible. Here are some things to look out for when you are reviewing contestation language in a contract or developing an internal contestation methodology: --Members who are not responsive to outreach from the care coordination teams. --Members that reside outside the service area (snowbirds, etc.) or who have lapsed coverage --Location of attribution. For example, if a member is attributed from an urgent care, confirm they are truly part of the provider's panel and not just getting a COVID test. --For max effect, contestation should not be siloed in one department. For example, analytics could manages the contestation process, care coordination communicates when outreach fails, and population health and contracting manage the programs requirements. We reviewed our contracts carefully to understand what language was in each contract to help develop the contestation analysis. Two key considerations are: -How often in the agreement period can you contest (once per year, monthly, before July 1st)? -Are members adjusted back to the start of the agreement period or just the month contested? Once you have who shouldn't be on your roster, run the reverse process to see who is being seen but not attributed!
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AHIP 2024 - Embrace Value-Based Care: The Future of Healthcare AHIP 2024 was nothing short of reassuring that VBC is an industry focus. Also confirmed is the agreement that we have been talking about it for decades and the time is now to figure out how to create, facilitate and implement VBC strategies that are meaningful for all stakeholders. Don Antonucci, CEO of Providence Health Plan, emphasized the urgent need for payers and providers to transition to value-based care. With Medicare and Medicaid aiming for this shift by 2030 and projected health expenditures hitting $4.8 trillion, the time is now. Mark Friedberg of Blue Cross Blue Shield of Massachusetts believes this goal is attainable, but progress is needed locally and statewide. It isn’t rocket science but it does require attention to detail. At Synergy 3C, THIS IS WHAT WE BUILD EVERYDAY! #AHIP2024 #valuebasedcare #VBCinitiatives
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Medicare Advantage is not only popular but also valuable! See the numbers below to decide for yourself. --Over 33 million seniors and people with disabilities choose MA --MA enrollees save an average of over $2,500 annually --MA is becoming attractive to diverse communities and low-income beneficiaries with 38% of enrollees on incomes of $25,000 or less compared to only 23% of Fee for Service beneficiaries --MA outperformed FFS in 10 of 11 key HEDIS measures --Each dollar spent by the federal government on MA provides beneficiaries with additional benefits and lower cost sharing than they would get under FFS --Medicare Part A Trust Fund could be extended by 17 years if Part A services in FFS were used at the same level as MA Medicare Advantage is a platform for innovation in benefits, care coordination and management, programs to address Social Determinants of Health and more. And here at Synergy 3C, we want to keep you on the forefront of MA innovation by partnering with you to bring your VBC innovations to launch, by helping you transition from FFS to VBC and avoid the pitfalls of failing to plan and by guiding the imagination and creation of dynamic tech stack to support clinical innovation. How can we help you today?!
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Where is the single platform many patients wish was available to them?! Patient portals are no longer providing the optimal patient experience and we can do better. Imagine you had one app for all your providers where you could request and see upcoming appointments, request Rx refills, track your health progress, complete a telehealth appointment, have access to your healthcare team via secure messaging, access resources and research regarding conditions you have been diagnosed with...the list goes on. Value-based care begins and ends with the patient experience. The data here is clear and reflective of other data sources as well. Patients want a mobile care experience and a one stop shop at that!