# Solutions Built with Purpose We’re on a mission to advance value-based care. Our state-of-the-art solutions have been built with a laser-focused resolve to help you to tackle your greatest critical value-based care challenges. ## What Challenges Are Payers Facing Today? **Improve risk** and **reduce the rate of increase in care**. Nascate will give you the tools you need to act quickly through actionable data and insights. ### Payer Challenge #1 Improve and optimize value-based payment arrangements How We Do It ### Understanding the relationships between providers and members, and the providers themselves, are critical for value-based programs to succeed. **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.** ### Payer Challenge #2 Help health systems grow and retain members How We Do It ### A successful value strategy gives your providers the strategic means to improve performance, while also increasing revenue. 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 ### Payer Challenge #3 Consolidate relationships around high-performing providers How We Do It ### Nascate’s ability to truly understand provider performance and influence enables you to identify high-performing providers and organizations, and consolidate member services around those providers. 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 ### AND MORE, INCLUDING: - Recognizing weak relationships so as to improve member experience and care, lower costs, and improve retention - Identifying merging high-needs members including details on the clinical and social needs that are placing them at-risk - Pinpointing patients that should be targeted for intervention earlier in the year Overcome Existing Challenges and Evolve Your Value-Based Care Model Nascate provides meaningful analytics that augment existing capabilities to overcome current challenges and evolve your value-based care model. New opportunities in value-based care recognize the primary care provider’s role in managing a person’s health and the overall value-based performance. New challenges come from the increasing need to manage and coordinate the care of individuals, families, and populations across the multiple contracts and incentive structures. ACTIONABLE INSIGHTS BASED ON: - Patient-to-provider relationships - Provider-to-provider relationships - Consumer behavior and decisions drivers that contribute to leakage - Utilization patterns and provider referral patterns that contribute to leakage and churn - A patient’s 360-degree profile, made up of a range of social determinants with data points accrued over time, such as geography, family support, connections, behavior, access to health care, and more