Health Plan Solutions
Azara empowers health plans to achieve better outcomes for their members through a proven, scalable technology platform.
Azara delivers timely, actionable clinical insights that facilitate collaboration with provider organizations.
This enables health plans to work hand-in-hand with providers on critical initiatives like improving clinical quality, recapturing risk, and driving performance improvement. By equipping providers with up-to-date, actionable information, Azara fosters a collaborative environment where all stakeholders can work together to monitor, track, and improve quality, cost, and utilization outcomes for the entire member population. Additionally, Azara optimizes risk gap closure and streamlines clinical evidence capture.
Azara seamlessly integrates with existing care workflows by ingesting claims and clinical data from various sources. This unified dataset enables member-focused programs to optimize quality measures, identify and work risk and care gaps, and precisely identify and target high-risk members through risk stratification – all within the unified Azara DRVS platform.
Azara DRVS further supports value-based care success with an experienced Clinical Transformation team and a comprehensive library of over 300 measures – including over 50 certified HEDIS® measures, MSSP ACO eCQM/Medicare CQM, and a broad range of clinical quality measures, covering Medicare, Medicaid, and commercial contracts.
Health plans use Azara solutions to engage with providers and members – improving care by enabling plans to:
Unify member insights by incorporating aggregated, standardized supplemental data directly from providers – empowering the health plan's teams with a comprehensive and timely understanding of members' conditions and risk factors.
Significantly reduce wasted time and effort by closing care gaps with Azara's automated care gap reconciliation which seamlessly matches payer-calculated gaps against EHR data – revealing the true status of gaps and ensuring resources are focused on the issues that
matter most.
Access real-time risk stratification to continuously identify and address potential member health issues.
Leverage expanded clinical insights, including social determinants of health (SDOH) and demographics to optimize HEDIS measure performance and facilitate risk recapture.
Gain granular insights into cost and utilization drivers throughout the network, enabling targeted interventions to optimize performance at the network, practice, and provider levels.
Azara DRVS empowers users to navigate the complexities of value-based care with a highly configurable and feature-rich platform, which includes:
Intuitive Dashboards
Innovative Dynamic Cohorts
Data Activation
Value-Based Care Success
NCQA Data Aggregator Validation
Azara Healthcare was part of the first cohort organizations which earned Certified Data Stream status in 2021 for NCQA’s Data Aggregator Validation Program - the highest level of certification offered by the National Committee for Quality Assurance (NCQA).
Validated data flows promote trust in aggregated clinical data. They support adoption of value-based contracting by making many of its core features more workable. This also eases the quality measurement load - validated data streams are uniquely accepted as standard supplemental data in HEDIS® audits. This means no primary source verification is required for HEDIS reporting when health plans report data from validated sources.
Validated data flows are an important, early step on the pathway to a digital measurement ecosystem.