Comprehensive Analytics to Guide Value-Based Care

Magenta Care Continuum is on a mission to support Alternative Payment Models (APMs) and value based-care organizations.

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What Does Magenta Do?

US healthcare is on a gradual journey from fee for service to fee for value. Value based care is  usually supported with Alternate Payment Models (APM). Payments to providers and payers are adjusted to take into account the health needs of the covered population. Magenta’s mission is to provide data and analytics to improve patient care and financial outcomes related to these populations.

Magenta supports both providers and payers in managing the complex clinical data and analytics  required to prosper in the Alternate PaymentModel (APM) world.  We have introduced advanced analytics to comprehensively assess and identify care gaps in a population.  We improve efficiency in verifying clinical documentation that supports increased payments for populations with greater needs.

Benefits to Providers and Payers:

Our Customers

Magenta provides Risk Adjustment solutions for Medicare Advantage Plans Sponsors, Medicare Shared Savings Programs, and ACOs including ACO REACH plans.  Magenta’s solutions streamline workflows, provide highly actionable analytics and identify members in need of clinician review.

How it Works

Full Population Scan
Instead of just looking at recent or upcoming encounter data, Magenta ingests all of a patient’s claims history — instantly giving you a holistic view of your patient population.
Missing HCCs Identified
45,000 rules including local pattern practices and SDOH factors are used to evaluate members’ existing HCCs and coding to identify missing HCC’s and identify care gaps.
Clinical Validation
Clinicians are provided with specific member, encounter, and clinical documentation to address the suspected care gaps. Magenta's tools lead to a tenfold increase in targeted reviews.
Closing the Gap
Magenta confirms that gaps were closed by monthly automated data review with open gaps tracked and reported. Reimbursement for closed gaps is tracked and validated.

Our Partners

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Magenta Care Continuum leverages unrivaled expertise in developing artificial intelligence-enabled products. The Magenta team’s vision and mission is to ensure that patient outcomes are optimized by providing the right care when and how they need it most.

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