Providers

Better health. Better care. Better cost. How can you more closely align with the Triple Aim Initiatives while assessing your own best practices to improve efficiency against performance measures?

Populytics’ analytics transforms claims and clinical data into actionable information that assists in identification of:

  • High-risk populations
  • Opportunities for cost reduction
  • Gaps in care
  • Provider performance in comparison to national standards of care

Learn more about our Population Health Analytics.

Populytics data uncovers:

  • Emergency room frequent utilizers
  • Impactable medical and surgical admissions
  • Ambulatory care sensitive conditions
  • Chronic individual identification and stratification
  • Minor avoidable inpatient admissions

We don’t just supply the data but help you apply identified clinical initiatives to your practice with our Care Coordination Team that assists with prevention through care intervention to chronic condition management. Learn more.

Provider Services

With Populytics’ strong connection to Lehigh Valley Health Network (LVHN), physicians that are part of the Lehigh Valley Physician Hospital Organization (LVPHO) participating in the Valley Preferred Network and/or the Lehigh Valley Hospital Health Plan gain the added benefit of Populytics’ Provider and Network Services team who provides an added layer of support with the following:

  • Providing education through meetings, newsletters and other initiatives
  • Coordinating network enrollment
  • Assistance with claim resolution
  • Credentialing and recredentialing insurance through our delegated agreements for LVPHO contracted payers
  • Management of the Provider Database for multiple efficiencies
  • Assistance with Valley Preferred’s physician incentive program, Achieving Clinical Excellence (ACE)®

In addition to servicing and educating the providers, Provider Services is the connection between the providers, members, and payers. The team assists with the development of fee schedules, physician hospital contracts, ancillary contracts, along with building payer and network relationships which are integral to the Populytics team.

Network Resources

Populytics accesses an array of regional and national provider networks, selected based on both quality and cost factors, featuring Valley Preferred as your local PPO.

Valley Preferred, a provider-directed, preferred provider organization aligned with LVHN, is dedicated to innovative programs to improve health care delivery and value in the community. Valley Preferred’s corporate philosophy is consistent with the goals of the Triple Aim: Better health. Better care. Better value. Providing the means to achieve these goals are Valley Preferred’s accountable care initiatives, combined with access to advanced analytics for population health management. Valley Preferred’s parent, LVPHO, offers Achieving Clinical Excellence—a highly successful series of physician incentive programs focused on steering quality improvement and physician engagement. It is the incentive portal through which a volume-based care model systematically transitions to a value-based care model.

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