ENSURE
Transforming Value-Based Care Through Data-Driven Insights
Ensure Data Solutions specializes in healthcare data analytics solutions and clinical interventions, designed to enhance collaboration between providers and payers within a value-based care framework. Our goal is to support organizations in navigating and succeeding in risk-based arrangements by leveraging accurate, real-time data.
KEY FEATURES
- Intuitive & Flexible Platform: The Ensure platform centralizes the management of clinical and business operations, streamlining workflows and improving decision-making.
- HITrust R2 Risk-Based Certification: Ensure is HITrust R2 risk-based certified, ensuring the highest standards of security and compliance for your data.
- SOC 2 Type II Audited: Our Data Center is SOC 2 Type II audited, guaranteeing robust data protection protocols and industry-leading security.
- NCQA Certified for HEDIS® Measures: Ensure is NCQA certified for HEDIS measures calculations, providing accuracy and reliability in performance metrics.
Why
Ensure Data Solutions
Achieve outstanding clinical and financial outcomes by leveraging a comprehensive suite of healthcare data insights that has empowered numerous risk-bearing entities to succeed. With actionable insights, your organization can make well-informed decisions that enhance health outcomes, improve quality of care, boost operational efficiency, and reduce costs.
MEMBERSHIP
Enhance your practice with our comprehensive Membership Analytics Module, providing a complete 360-degree view of every patient in your care. Identify new patients without a care event, track those who have relocated, manage disenrolled members, monitor established patients who haven’t had recent visits, and access detailed financial reporting. Get a preview of your future patient assignments become they even become effective so you can start planning your workloads.
Revenue
Insights on your organization financial performance, ability to track high-risk patients and overall trends that allow projections.
referrals
Do you have visibility into the volume of referrals being made? Is it more cost-effective to bring in a specialist periodically instead of referring patients out? Let us help you navigate this decision-making process. Our intuitive dashboard provides clear, actionable insights, showing referrals per care event and on a PMPM basis, enabling you to make informed, data-backed decisions for better care coordination and cost efficiency.
Reports
Our platform empowers PCP groups, MSOs, and ACOs to optimize financial outcomes across their patient populations. Track critical KPIs—including Admits/1000, Readmission Rates, ER Visits/1000—while gaining insights through peer performance comparisons, cost analysis, and utilization trend analytics. Achieve better financial results with data-driven strategies and actionable analytics tailored to your organization’s needs.
Coding
Ensure’s NCQA certification for HEDIS measures provides precise calculations, a user-friendly dashboard, and optimized star ratings. Our solution identifies prospective and retrospective suspects, tracks clinical conditions, and allows re-documentation of prior conditions. It also predicts risk scores, even for suspected but un-coded conditions, empowering healthcare organizations to manage quality metrics and improve outcomes in value-based care
Pharmacy
Our detailed Pharmacy Utilization Dashboard provides full visibility into prescription costs, including brand, generic, and total costs. It also tracks RX costs on a PMPM basis and includes over-the-counter (OTC) expenses. The dashboard enables you to identify patients using brand-name drugs when generic alternatives are available, enabling better cost management and prescribing decisions.
Admissions Management
The Comprehensive Hospitalization Dashboard offers a complete view of patient admissions across Inpatient, SNF/Long-Term Care, Emergency, Elective Procedures, and Post-Discharge follow-ups. Access key metrics on admissions, readmissions, and days spent to support informed decisions and streamlined care coordination. The Hospitalization List provides essential diagnosis details, hospitalization history, and clinician notes for a seamless, contextual view of each patient’s journey.
Claims
Our Claims Module offers full visibility into the total cost of claims paid per patient, including inpatient, outpatient, and other types of claims. With the ability to group claims by type and description, you can easily manage and control costs, ensuring comprehensive oversight and improved financial decision-making.
Client Testimonials
The Referral dashboard gives me the distribution of top Specialist by Taxonomy allowing us to track past, current and future trends which gives the ability of providing the care needed while maintaining over utilization.
The financial reporting offered by Ensure follows a standard format for all HMO plans. Therefore, the user can compare HMO service fund performance on screen, or download the data in various formats such as Excel, PDF, CSV, HTML, etc.
