ClarityQX is a Software as a Service (SaaS), healthcare analytics platform.
It is designed to enable health plans and health systems to simplify the design, implementation and monitoring of alternative payment models such as bundled payments, AccountableCare Organizations and other at risk-arrangements. The user friendly interface enables business users to quickly access drill-down dashboards to support provider engagement and contract negotiation processes. We also deliver self-service business intelligence capabilities to enable data science professionals to perform their own unique analysis and reporting.
ClarityQx is a certified HCI3 Prometheus Analytics platform.
Our standards-based, episode of care definition library is consistently updated enabling the continuous identification of episodes and their associated volume, costs and care variations.
Through our flexible provider attribution processes we can attribute individual physicians, practices and facilities to episodes of care to better understand their quality and cost performance.
Through our clinical methodology we automate the identification of clinically related episodes increasing the ability understand the complexity of consumer populations.
Through our analytic processes we quickly determine the average episode cost and provide a detailed view into their associated clinical services.
The drill down dashboards and exportable reports are flexible and easily configured to meet the unique needs of healthcare organizations.
Our episode definitions and analytics are configurable, for example: episode triggers, age parameters, and look-back/look-forward periods can be modified to meet specific program needs.
Select an icon to learn more about the ClarityQX modules
The ClarityQX Episode Configuration Module enables health plans and health systems to increase the flexibility of their value based payment programs by providing the capabilities to modify episode definitions.
The configuration module enables the administration and modification of episode parameters such as: look-back & look-forward durations, age ranges, included services and much more. With these capabilities health plans and health systems can define their programs to meet their unique provider network and consumer population needs.
For basic episode configuration, episode parameters such as the age range and the pre and post episode durations can be configured.
The ClarityQX National Data Source module provides health plans and health systems visibility into 100+ million unique, de-identified consumers.
This longitudinal data source contains over 2 billion+ claims, which is regularly updated. By utilizing this data source, health plans and providers can more easily create a Value-based Payment (VBP) strategy by providing insight into regional episode volumes, provider performance, care team options, competitive benchmarks and more.
The information is de-identified at the consumer level but contains information such as age, gender and location of residence.
Providers with in the information remain identified, which can be linked to other data sources via the providers' NPI key or probabilistic demographic matching.
This information contains a set of the paid and denied claims for all types of medical coverage (e.g. institutional, physician and ancillary care provider claims.)
For consumer with prescription benefit coverage, the information contains a set of filled script claims.
ClarityQX offers one of the richest libraries of standardized episode of care definitions to health plans and health systems.
There are over 90+ definitions within the library, which is consistently updated. By providing standardized and clinically validated episode definitions, health plans and health systems improve their ability to quickly structure value-based payment programs.
This library of definitions is updated frequently and is clinical reviewed by our partners. Below is the list of episodes currently supported by ClarityQX.