New Technology Demonstration

Looking for Early Adopters to Use a Solution to Answer the Question:

What does it take to get physicians to document and send medical records? 

 

We would like to gauge your interest in joining our user group cohort for Tyrula’s RAMP platform. RAMP enables Medicare Advantage plans to prioritize high-risk patients, confirm patients’ chronic conditions, transmit their medical records, and get paid for it. RAMP streamlines a few of the tasks that we know can be frustrating for a lot of plans in their interactions with practices.

The Problem:

  1. First, plans need access to retrospective clinical data for risk adjustment. Health plans have invested a lot in analytics and data mining tools, and provider education and coding technology but still are unable to easily get access to clinical data. Even with incentives, it has been challenging to get access to clinical data. RAMP helps change provider behavior by reducing provider abrasion.
  2. Second, health plans are trying to "teach" providers to engage members and document medical records, but are finding it difficult because physicians feel that they don't have the time.  Moreover, physicians did not go to school to learn how to document, so even with performance-based bonuses, they resist efforts to change how they document their care today. The RAMP platform eases this burden and facilitates better payer-provider communication. 

Tyrula’s Ask:

We are looking for about 6 Medicare Advantage plans to confirm that the identified major sources of frustration can be solved with RAMP. We are looking for feedback to incorporate into the product. We’d ask you to use it for 4 to 6 weeks. 

We’ll provide all the necessary training. After implementation, we require an hour a week to discuss the project and a few hours at the end of the program for structured feedback. This will give us a sense of how we might improve the RAMP platform in the future.  Ideally, the cohort program will start from March to April 2015. Participation is at no additional cost to plans and should the participants decide to subscribe to the solution, they will get at 20% discount to the first year’s subscription price. If you’re interested to learn more about this initiative, please send us an e-mail to cohort@tyrula.com or call  Kam @ 703.776.0156  or enter information at the following link: www.tyrula.com/RAMPcohort

 


Categories: demo, Tyrula, cohort

Log on to Your Rise Account

Forgot your password?
Create an Account

Association Sponsors

Latest Posts

Keep M.E.A.T. on Your List for a Healthy Audit

By Jeanmarie Loria, Advize Health, LLC If you’re reading this article, chances are you already know what HCC Coding is – but we’ll give you a refresher anyway. Hierarchical Condition Category (HCC) and Risk Adjustment Coding is a CMS-mandated payment model. This model works to identify those with chronic and other serious illnesses and prescribes a risk factor score to each patient, taking into consideration their ailments and other demographics. With every payment model comes a specific set of audit and review requirements that must be met to maintain the integrity of the system, and this is where MEAT (Monitor, Evaluate, Assess/Address, Treat) comes in handy. In a face to face visit M.E.A.T. maybe found in the chief complaint, history of present illness, review of systems, physical exam, assessment and/or plan....
Read More

Getting It Right: True North in Healthcare Reform

The movement to repeal and replace "ObamaCare" created so much political noise that clear thinking has been hard to come by. The 2010 legislation that created the marketplace for individuals and small business (the Affordable Care Act or ACA), has almost evolved into a political Rorschach test. The more that politicized options and alternatives to repealing, replacing, or repairing it were discussed, the harder it was to put into focus the original problems the legislation was designed to address. Nevertheless, the rancorous divisions over what needs to happen to fix problems in the individual insurance market remain a distraction from the real issue at hand: the cost of healthcare weighing down the economy and what we need to do to fix it. With all the intense debates swirling around this topic, an impression emerges that “solving the ObamaCare issues” is something that must be accomplished as an isolated matter, discrete and independent of other problems. The heated debates concentrate on the mechanics and tactics required to solve the "uninsured problem", the "under-insured problem", and for some, the federal budget problems created by the subsidies for low-income enrollees in these plans. This single-issue mono-vision obscures a reality that must be addressed. This perspective completely misses the fact that something is going on that is far more corrosive to the wellbeing of all of us as consumers of health care, as taxpayers, and as a nation: something that overshadows the tug ‘o war over ObamaCare. The critical and overlooked issue is that health care expenditures in the U.S are at least twice as expensive as other nations, which consume so much of the national economy...
Read More

Upcoming Conference

 

Qualipalooza: The 2nd Annual RISE Quality Leadership Summit 

This unique event incorporates three conferences presented side-by-side: the Star Ratings Strategic Planning Forum, the HEDIS Forum, and the CAHPS, HOS & Member Survey Forum. Register for one conference for an in-depth examination of a single area, or design your own event by opting for the all-access pass and choosing the sessions from each conference which correspond exactly to your interests.

More

Upcoming Webinar

Successful and Meaningful Techniques for Integrating Risk and Quality Interventions

Quality measurement and risk adjustment regulations are increasing and the financial impact upon health plans is progressively driving accountability and influencing profitability through payments, penalties, and bonuses. To improve performance and optimize risk and quality payments, Health Plans need to streamline processes, employ best practices for data capture, and focus on strategic interventions that use a member-centric approach.  

Connect With Us

Copyright © 2014 Resource Initiative & Society for Education. All rights reserved.