Unifying Quality and Payer Data Drives Pay-for-Performance Success
Unifying Quality and Payer Data Drives Pay-for-Performance Success
1 PagesCone Health struggled with pay-for-performance (P4P) metrics arriving mid-year from payers, limiting improvement opportunities and leaving revenue untapped. Health Catalyst software—the Data Platform and Healthcare.AI—unified quality and payer data into a single analytics application, enabling contract and quality teams to visualize performance against targets and forecast contract achievement. This drove a $1.9M revenue increase in one year for a single payer, identified millions in future opportunities, and prioritized high-impact improvements, ensuring smarter strategies, higher quality scores, and sustained financial success.
