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Health Insurers

With new federal law statutes firmly in place, it will be paramount that health insurers invest in SandlotConnect® for their health information exchange necessities. The Patient Protection and Affordable Care Act med-loss ratio (MLR) requirements will demand that health plans utilize our HIE to fulfill their quota in which at least 80 to 85 percent of consumer’s premiums are allocated to improving patient care.  Insurance companies will also require our SandlotConnect® services to help exchange invaluable data with physicians, meet CMS 5 Star rating status, improved care coordination and assist accountable care organizations (ACO) with economies of scale.

Sandlot’s innovative HIE web tool will provide these core benefits for insurers:

  • Mutually beneficial cost reductions between payers and ACOs: Health insurers can use our solution to assist providers and affiliated practices with managing risk exposure and analyzing patient data. 
  • Meet MLR Quotas: SandlotConnect®’s intrinsic data analysis and population health management capabilities are defined as medical costs by the federal government.
  • Meet Business Objectives:  Our quality reporting module, SandlotMetrix, will provide analytical data on HEDIS measures. These quality reporting analytics help determine NCQA published ratings of the top 20 health insurance plans.
  • Improved Efficiency in Patient Treatment: SandlotConnect® is an interoperable, easy to use solution for health plans to share information between physicians, hospitals and other health care providers across the care continuum. Our HIE will be essential in improving the quality and eliminating redundancy in patient care for a specific geographic region.