Transforming Healthcare Outcomes with Lightbeam Health Solutions and AHIP Partnership: Bridging the Gap Between Payers and Providers

AHIP and Lightbeam Health partner to enhance healthcare services

Lightbeam Health Solutions, a leading technology company specializing in population health, has recently partnered with America’s Health Insurance Plans (AHIP) to improve healthcare outcomes for payers and health plans. As an AHIP Affiliate Organization Member, Lightbeam aims to bridge the gap between payer and provider organizations by providing innovative solutions that promote payer-provider alignment and transparency.

Using data analytics, Lightbeam’s solutions are tailored for population health management across various demographics, including ACO REACH, MSSP ACO, Medicare Advantage, Medicaid, and commercial populations nationwide. This partnership provides payers and health plans with technology to generate provider insights, performance metrics, identify member risk, and reach vulnerable populations. By facilitating communication and alignment in key areas such as HEDIS and Star quality measures, risk adjustment coding, member retention, and cost and utilization patterns.

Key solutions offered by Lightbeam include ADT Insights which highlights high utilizers and initiates transitional care management workflows; Provider Insights which allows segmentation by provider performance and provides comprehensive patient profiles at the point of care; Prescriptive AI which identifies dual-enrolled members for accurate HCC coding and offers targeted intervention strategies based on risk factors.

Lightbeam Health Solutions is headquartered in Dallas. The company will be an exhibiting sponsor at the upcoming AHIP 2024 conference in Las Vegas from June 11-13 where Erin Page, president of Government & Value-Based programs at Lightbeam Health Solutions will showcase how Lightbeam’s solutions are transforming member insights into positive outcomes while supporting the shift towards value-based care.

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