Cost & Utilization

As health care becomes more integrated within a quality care model, clinical, financial, and operational analytics are key to providing the right care, at the right time, in the right setting. As a part of Vision Platform, our vQuest software module provides powerful insights into cost and utilization trends and drivers. With an easy drag and drop design, users of all levels can create, save, and propagate customized analytics in just minutes.



  • Web-based analytic module allows organizations to run standard reports, create and save custom reports, and create executive-level performance dashboards
  • Illustrates cost drivers and key performance indicators for management
  • Primary Care Physician reports provide a panel of patients for an individual PCP and includes information necessary to identify high risk and high cost areas  
  • Specialty profiles give physicians and executives information on the continuum of care and specific episodes of care that can immediately be applied to patient care and network protocols. These reports present leading practice patterns, which verifies and encourages compliance with organizational change
  • Pharmacy reports detail, information on patient and member prescriptions and pharmaceutical usage

Client Benefits

  • Provides baseline and ongoing performance management against cost and utilization best practices, and evidence based medicine
  • Supports financial arrangements from pay-for-performance to full capitation, including shared savings and shared risk models
  • Delivers actionable detail on high-cost and high-utilizing patients, multiple ED visits, out of network leakage, and other inefficiencies
  • Tracks performance against quality, per- member-per month cost targets, and other key metrics
  • Improves collaborative trust in physician-hospital partnership
  • Leverages data-driven physician culture to further engage physicians in population management

“Valence Health’s willingness to go above and beyond the call of duty has contributed to our ability to maintain regulatory compliance and improve the care of our members.”

Mary Dale Peterson, MD,
President & CEO
Driscoll Children’s Health Plan

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