Accelerating AI Powered Stars and Quality Performance for Health Plans and Providers

The following excerpt was originally published by Lilac Software. To read the full article, please visit Lilac’s website.

Lilac was founded with the mission of delivering best-in-class cloud and AI/ML-powered technology to a healthcare system that urgently needs these technologies. We initially focused on a specific set of payer challenges – Medicare Advantage (MA) Stars performance management and quality workflows – but the vision has always been broader: to support organizations across the healthcare ecosystem. Transforming healthcare will take leaps forward by every part of the industry’s value chain – from payers to PBMs to MSOs to providers.

When we were presented with the opportunity to accelerate that vision by combining with an organization with highly aligned values, vision, and products, we decided it was too good to pass up.

Combining Medisolv’s industry-leading clinical quality intelligence platform with Lilac’s AI-driven predictive analytics and MA Stars expertise enables us to rapidly develop a new generation of technology that empowers health plans and providers to turn quality data into action.

The Problem: Quality Data Exists, But Action Is Hard

Healthcare organizations today have access to more quality data than ever before. Clinical records, claims data, and performance reports are widely available across programs such as:

• Medicare Advantage Stars
• MSSP and ACO programs
• HEDIS and other quality measures
• Emerging patient-reported outcome measures

Yet most organizations still struggle to translate this data into better health outcomes and better business performance.

The challenge starts with fragmented clinical and claims data spread across multiple systems, making it difficult to form a unified view of performance. At the same time, they lack predictive insight into future quality outcomes and face challenges in determining which patient care gaps will have the greatest impact. Even when those gaps are identified, operational barriers make it difficult to engage patients effectively at scale.

The Opportunity: Connecting Clinical Intelligence with AI-Driven Analytics

By combining Medisolv and Lilac, we’re working to address a critical gap in value-based care infrastructure. Medisolv brings deep expertise in clinical quality measurement and regulatory reporting, supporting more than 100,000 providers nationwide.

Continue reading the full article here: https://lilacsoftware.com/lilac-joining-forces-with-medisolv/