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Insurance Providers

As payors expand the number of at-risk products in the market, their provider networks need to be able to monitor and manage this risk.  Sandlot Solutions provides the technology platform to support the shift of risk from payors to providers.

The Solution

Sandlot Connect
Sandlot Connect builds a comprehensive medical record, including diagnoses, medication lists and allergies. Our solution also allows medical document sharing, including imaging, lab results, physician letters and examination reports via an integration profile called XDS, or Cross-Enterprise Document Sharing. This software provides a complete patient medical record at the point-of-care, allowing physicians and nurses to view a comprehensive patient profile all in one place.

Patient data is collected from all connected data services to match patient records automatically, with robust connection source systems that expedite searches for patient information, and deliver higher data quality that is 100% compliant with integrating the health enterprise (IHE) standards. The result—reduced time for patient data clearing, lower administrative costs and improved patient safety by lowering the frequency of patient misidentification and medication errors.

Sandlot Dimensions
Sandlot Dimensions is a data repository that receives, analyzes and sorts clinical and claims information from a variety of sources in many forms and formats. It also stores disintegrated data so physicians can retrieve specific information to provide the highest quality, evidence-based care for their patients.

Sandlot Care Manager
Sandlot Care Manager reduces administrative costs and improves the efficiency of care coordination with patient and case relationship management workflow capabilities to provide the right care, at the right time, from the right resource. It features integrated workflow between caregiver roles and leverages both clinical and claims information streamlines the content for a rich view of case data. The result is near real-time data from integrated sources highlighting needed actions and interventions. Gaps in care, as well as recent clinical and stratification metrics, are made more visible. Care plans are managed using an efficient, prioritized and patient-specific task list.

Benefits of Sandlot Solutions

  • 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: Sandlot Solution’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, Sandlot Metrix, 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: Sandlot Solutions is an interoperable, easy to use platform for health plans to share information between physicians, hospitals and other health care providers across the care continuum. Our next generation health information exchange (HIE) will be essential in improving the quality and eliminating redundancy in patient care for a specific geographic region.

 

Our Experience

Sandlot Solutions currently provides the health information exchange (HIE) and quality analytics technology infrastructure to support the one of the first Pioneer ACO’s in the country Model for North Texas Specialty Physicians (NTSP) and its more than 50,000 Medicare and Medicare Advantage patients. Established in 1995, NTSP is a physician-led multi-specialty practice has more than 600 family and specialty physicians who have been delivering high quality medical care to over 15,000 patients a day across 100 sites. Sandlot Solutions has also been recognized as a state-qualified Health Information Service Provider (HISP).

How can we help your organization? Contact us.

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