Solventum™ Methodology Consulting Solutions (MCS)
The Solventum™ Methodology Consulting Solutions (MCS) team offers strategic guidance to payers to identify potential waste, improve payment transparency, gain insights into quality metrics and realize the full value of Solventum methodologies.
Solventum MCS is backed by our 35-year history of developing, implementing and optimizing groupers and classification systems.
Product details
Solventum MCS can help you:
- Develop a reimbursement program that uses data classification and risk adjustment to fairly pay providers based on the actual cost of care
- Implement a quality program that identifies opportunities to improve outcomes and lower costs
- Reward best practices through a value-based care program designed to share potential savings between health plans and providers
- Identify strategic areas of focus based on performance benchmarks
Program options
Solventum MCS can provide expert guidance to support:
- Payment reimbursement design and modeling for inpatient and outpatient care settings
- Pricing and case mix analysis
- Reimbursement impact analysis
- Benchmarking for Medicare and state payments
- Strategic payment consulting
Solventum MCS can provide expert guidance to support:
- Facility quality program design and modeling
- Quality measure guidance and support
- Care management and population health reporting
- Strategic population health consulting
Solventum MCS can provide expert guidance to support:
- Value-based care program strategy design and implementation
- Methodology selection and adoption
- Performance analytics and insights
- Provider engagement support
- Opportunity identification and prioritization
- Program monitoring and continuous improvement
Solventum MCS can work with you to maximize the value you get from Solventum Data-to-Action and Solventum Informed Analytics by:
- Partnering with your team every step of the way – from initial data ingestion and validation to ongoing processing, analyzing and translating results into actionable business insights
- Tailoring our services and recommendations to your unique goals, operating model and challenges
- Ensuring data is accurate and applied effectively to drive organizational priorities, improve performance and support long-term strategic success
Solventum MCS can provide expert guidance to support specialized topics, including:
- Medicaid Encounter Data System analysis for New York State
- Severe maternal morbidity analysis
- Patient prioritization and population risk segmentation
- Strategic opportunity consulting
Customer success stories
Solventum provided analysis and guidance to the New York State Delivery System Reform Incentive Payment (DSRIP) Program
to reduce potentially preventable events — helping achieve $500 million in cumulative savings. Provider engagement and accountability proved strong, with 70% of providers reporting the program design was effective.
The Egyptian Health Department in Illinois worked with Solventum to implement the Solventum™ Clinical Risk Groups (CRGs) Classification System
to validate complexities, meet alternative payment model performance measures, uncover risk profiles, identify at-risk children and provide reporting to support the Integrated Care for Kids (InCK) model.
The Solventum team helped the Rotherham NHS Foundation Trust in England use Solventum CRGs
to better understand their same-day emergency care population and gain insights into the link between burden of illness and service utilization.
Resources
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