Risk and population analytics
Understand patient complexity, drive higher-value care
Risk models estimate expected cost and utilization by accounting for patient acuity, conditions, and demographics. By adjusting for risk in real time, these models ensure fair comparisons across providers and populations-so you can forecast performance, manage populations proactively, and make confident decisions in value-based arrangements.
- Generate risk scores using validated, industry-leading methodologies
- Adjust for patient acuity to enable fair benchmarking and comparisons
- Forecast expected cost and utilization to support population and financial planning
- A few of our risk models offered: CMS-HCC, HHS-HCC, ACG, and CDPS
Measure end to end episode performance
Arcadia’s episode analytics maps clinically defined episodes to evaluate the total cost, utilization, and outcomes of care for specific conditions and procedures. By analyzing episodes across providers and settings, you can uncover variation, identify cost drivers, and improve quality across the full continuum of care.
- Apply clinically defined episodes across a library of common conditions and procedures
- Measure total episode cost, utilization, and outcomes across settings
- Identify variation and cost drivers to improve clinical and financial performance
provider performance analytics
Evaluate provider efficiency, consistently
Provider performance analytics, powered by our medecon engine, evaluate how efficiently providers deliver care by analyzing resource use, practice patterns, and cost performance. With real-time benchmarking and insight into drivers of inefficiency, optimize networks, guide contracting, and promote higher-value care.
- Measure provider efficiency using cost, utilization, and practice pattern metrics
- Benchmark performance against peers, markets, and custom groups
- Identify drivers of inefficiency to support network design, contracting, and referral optimization
Measure quality that matters most
Use quality models to track clinical performance in real time with evidence-based quality measures and outcomes. By tracking in real time and benchmarking against peers, you can identify high-performing providers, close care gaps, and drive better outcomes for the populations you serve.
- Assess performance using evidence-based quality measures and outcomes
- Risk-adjust quality scores for fair, meaningful comparisons
- Identify opportunities to close care gaps and improve quality outcomes
- A few of our quality models offered: CMS Core Medicaid, eCQM, MIPS, and PQA
Predefined episodes for immediate performance analysis
Age-Related Macular Degeneration
Appendectomy
Asthma
Atrial Fibrillation & Flutter
Cardiac Catheterization
Cholecystectomy
Chronic Obstructive Pulmonary Disease
Colonoscopy
Coronary Artery Bypass Graft
Diabetes (chronic)
Foregut Procedures
Fracture/Dislocation Treatment – Pelvis/Hip/Femur
Gastrointestinal Hemorrhage (ambulatory)
Heart Block
Heart Failure (chronic)
Hypertension
Knee Arthroscopy
Low Back Pain
Mastectomy
Migraine and Chronic Headache
Osteoarthritis
Otitis Media (chronic)
Pneumonia
Spine Deformity
UTI (ambulatory)
In Need of More Episodes?
Ascent Network includes a library of 300+ clinically defined episodes to help uncover even more insights.
