Off-the-shelf and customizable patient journey design
Our approach
To create an industry-leading standard episode, we leverage clinical expertise, analytic insights, and our cloud platform. Based on over 10 years of episodes experience, each episode is created with a pre-defined claims logic, optimized for both consistency and rigor across the portfolio.
Clinical validity
Final decisions are vetted by physician specialists along with our episodes team. Today, our team counts 300+ physicians and medical coders to ensure algorithm decisions match clinical practice.
Flexible deployment
We work with clients to understand their specific needs and support the delivery of episodes via our platform or through code deployments to a client platform environment.
Ease of customization
Our customization engine allows us to support clients' specific situations and adjust individual episodes to match these structures, such as custom risk-based models.
Key features
Provider-level opportunities
Proven identification and sizing of specific areas where providers could optimize cost and improve quality
Library of deep-dive analytics
Stakeholder-vetted analytics allow users to quickly understand core drivers of episode performance
Targeted customizations
Flexible and easy-to-understand patient journey maps and design frameworks allow episodes to be quickly tailored to meet the unique goals of providers and health plans
Quality metrics
A library of cross-cutting and episode-specific quality metrics provide a nuanced picture of the impact on patient care
Risk adjustment
Advanced analytics methodologies including principal component analyses and regression modeling are applied to enable apples-to-apples provider comparisons
Featured experts
Jennifer Rost
PartnerWashington DC
Helps leading healthcare organizations develop innovative value-based care and digital health solutions to improve healthcare...
Adi Kumar
Senior PartnerWashington DC
Counsels private- and public-sector leaders on topics of strategy, innovation, organization, and operations to improve performance...