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Lightbeam Health announces partnership with AHIP╠ř

The affiliation is aimed at bridging the information gap between health plans and providers.

Susan Morse, Executive Editor

Photo: Morsa Images/Getty Images

Lightbeam Health Solutions, which specializes in technology for population health, has announced a partnership with AHIP, America's Health Insurance Plans.

As an AHIP Affiliate Organization Member, Lightbeam said it connects payers and health plans with the tools they need to foster payer-provider alignment and transparency while achieving reduced cost-of-care, improved quality outcomes and member satisfaction.╠ř

Lightbeam uses data analytics for population health management for ACO REACH, MSSP ACO, Medicare Advantage, Medicaid and commercial populations across the country.╠ř

WHY THIS MATTERS

The partnership gives payers and health plans the technology to generate╠řprovider insights and╠řperformance metrics, identify member risk and reach vulnerable populations.

It facilitates information exchange between payers and providers while enabling alignment in key areas, such as HEDIS and Star quality measures, risk adjustment coding, member retention, and cost and utilization patterns.╠ř

These solutions include:

  • ADT Insights: Spotlights high utilizers and initiates transitional care management (TCM) workflows so care managers know which members need care
  • Provider Insights: Allows payers and health plans to segment down to provider performance, as well as generates comprehensive patient profiles accessible at the point of care
  • Prescriptive AI: Identifies dual-enrolled members to ensure accurate HCC coding and provides targeted intervention strategies based on clinical and nonclinical risk factors

THE LARGER TREND

Lightbeam, headquartered in Dallas, will be an exhibiting sponsor of AHIP 2024 taking place June 11-13 in Las Vegas.

ON THE RECORD

"We're eager to attend AHIP and share how Lightbeam's solutions are transforming member insights into positive outcomes, all while aiding in continued expansion to value-based care," said Erin Page, president of Government & Value-Based programs at Lightbeam Health Solutions. "One of the greatest challenges health plans often face in this market is the disconnect between payer and provider organizations."

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Email the writer: SMorse@himss.org