Nascate quantifies these relationships to inform your decisions and actions at each stage of value-based care.

Improve Provider Alignment

By linking provider performance to relationship strength, we can identify the providers that are strongly connected to your members and optimally aligned with your interests, enabling you to:

• Increase transparency, clarity, and trust with your providers, align incentives and reduce friction, and achieve long-term stability
• Develop networks for growth and performance
• Optimize networks for value-based care outcomes and the Medicare Advantage Market

Improve Attribution

Assigning members to the right provider is a crucial part of risk-sharing agreements, but traditional attribution methodologies often fall short, leaving a large portion of the population out. This can result in missed growth and revenue opportunities, poor or misunderstood provider performance and even distrust.

By measuring provider-member interactions over time, we’re able to answer the all-important question of “whose patient is this and which provider is accountable?”, enabling you to:

• Audit and improve existing methodology
• Assign a higher volume of members to capture missed growth opportunities
• Increase transparency and stability to improve provider trust
• Serve as a building block for attribution, risk, incentive sharing and contracting

Inform Value-Based Actions

By merging robust data sources with complex clinical and social information, Nascate can produce a holistic view of your population, as well as a complete 360-degree view of each member.

• With Nascate’s Member Profile you’ll get a comprehensive picture of each person that illustrates clinical information, social and treatment burden factors, risk and opportunity tags, gaps in HCC coding, provider relationship strength and attribution, utilization timeline and family information
• We also operationalize social determinants of health to micro-target value-based actions, match members to existing programs and community resources, anticipate risk and the need for early intervention

These timely and meaningful insights enable you to segment your population, match members to providers and programs based on their specific needs, prioritize actions, and tailor interventions—ultimately enabling you to clearly identify ways to change patient behavior

Improve Member Experience

Strengthening a member’s relationship to his or her main provider has a significant and measurable impact on that member’s healthcare experience. When a member is tightly connected to their main provider, we see a reduction in unnecessary services and visits, utilization is optimized, and that member can be retained.

Nascate’s tools support growth and retention so you can support your providers and optimize partnerships in your value-based arrangements.

Measuring member-provider relationships to identify weak relationships and patients at risk of leaving, enables you to:

• Help your providers prioritize members at-risk of leaving
• Steer members toward high-performing providers
• Arm providers and provider groups with retention strategies

Measuring provider referral patterns and provider-to-provider connections, enables you to:

• Encourage participating providers to make in-network referrals
• Improve your network by adding new providers to cover gaps in physician specialties or geographic areas with limited options—or those out-of-network physicians who often receive referrals

By guiding members to high-performing providers, you will be able to:

• Control utilization and reduce overall total cost of care for the network
• Reduce ED visits, inpatient stays, and readmissions
• Reduce leakage to better manage utilization and control cost
• Improve care density and optimize care teams to manage cost
• Improve retention with stronger relationships that help long-term savings