NextGen Healthcare and Milliman enter into agreement for analytics and risk scoring services

NextGen Healthcare Information Systems, a provider of healthcare information systems, services and connectivity solutions, announced it has entered into an agreement with Milliman, a global consulting and actuarial firm, to license risk analysis and predictive modeling tools for population health and collaborative care management.

Under the agreement, Milliman will provide patient risk scoring, stratification and analysis of Medicare patients and facilitate the exchange of patient data among those providers utilizing NextGen Care, the Company’s new Population Health Solution. NextGen Care works within the electronic health record (EHR) workflow to aid the care management process. Likewise, the Milliman analytics are surfaced within the clinical workflow to facilitate individual patient care by the provider and care teams, as well as in support of automated, proactive patient outreach to identify care opportunities for individual and groups of patients alike. The Milliman analysis provides a score or a percentile ranking of where patients rank within the patient population to help identify and proactively manage those patients most likely to be sick and those with the highest treatment costs.

Moreover, patient risk scoring can identify individual patients and patient cohorts for effective chronic disease management. Cohorts are defined as a group of patients who share similar symptoms, or chronic conditions that the care team monitors and manages over a period of time. Providers can easily identify “high” risk patients, cohorts and/or gaps in care so they can follow up with the most effective clinical action resulting in improved health outcomes for each patient and across the patient population. This risk analysis will enable NextGen Healthcare clients to more cost-effectively manage individual patients, patient populations and their business while improving quality of care throughout their practices.

“Value-based healthcare will require physicians and healthcare systems to use sophisticated analytics that reveal opportunities for improving quality and efficiency. The seamless transformation of data can quickly increase an organization’s ability to deliver high-quality care in an efficient manner,” said Arthur L. Wilmes, FSA, MAAA Principal and Consulting Actuary for Milliman. “We are pleased to work with an industry-leader like NextGen Healthcare.”

“Mitigating risk is important to the success of any enterprise. In healthcare, the more accurate data organizations can obtain about their patient’s health risks, utilization and costs, the better positioned they will be for success in our new value-based delivery models,” said Michael Lovett, Executive Vice President and General Manager for NextGen Healthcare. “Through our collaborative efforts with Milliman, we are deriving risk down to the patient level – where actual health care takes place. By providing actionable data at the point of care, we are helping providers make more informed clinical decisions and develop interventions that target high-risk, high-cost patients, thereby allowing for changes in their cost structures and improvements in outcomes.”

Milliam, NextGen Healthcare


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