Broad national knowledge base with collaborative local support.
Qlarant helps behavioral health organizations; accountable care organizations; federal and state government programs; and behavioral health service providers and payers address the significant challenges being faced today:
- Increasing demand for service
- Service access problems
- Outcome measurement
- Integrated care implementation
- Data integration difficulties
- Identification of key social determinants to support population health models
- Inconsistent application of evidence-based practices
- An increasingly complex regulatory environment
- Pressure to reduce costs
Organizational and Program Effectiveness
Qlarant can help improve performance on quality and cost metrics—including HEDIS behavioral health measures—and in developing and assessing chronic and integrated care programs. Using provider and member/patient-based tools, we help your organization identify evidence-based practices and assist you in implementing them.
By assessing gaps in care, Qlarant will also work with you to develop effective interventions to address the role of behavioral health conditions in reducing avoidable outcomes (such as unnecessary admissions to emergency and higher levels of care).
Population Health Management, Care Coordination and Member Engagement
Our comprehensive data analytics offer focused, clear approaches to stratify your populations by risk, integrate data from multiple sources, and identify health disparities to support meaningful care coordination and outcome measurement. Qlarant excels in data integration, consolidation, and visual display enabling your organization to identify and manage chronic medical and behavioral health conditions. Our person-centered practices, supports, and tools improve patient engagement that lead to meaningful differences in outcomes.
Qlarant employs sophisticated data mining techniques and predictive analytic tools to identify provider and patient outliers that help your organization target interventions for opioid misuse and addiction programs. Our participation in the Centers for Medicare & Medicaid Services’ Special Innovation Project on Opioids has helped us develop special expertise in community interventions to prevent adverse drug events related to opioid prescription.
Integration of Services for Co-occurring Conditions
Behavioral health programs are more effective when they integrate services for individuals with both behavioral and intellectual/developmental (IDD) disabilities. Qlarant uses an array of person-centered, whole-health planning tools (such as My Life) to help organizations achieve this integration.
Additionally, our extensive experience with co-occurring disorders (including Applied Behavior Analysis), providers and processes (like PASRR), trauma-informed approaches, and other challenges facilitates significant opportunities for improvement and efficiency.
Value Based Payment (VBP) Support
Creating and maintaining strong partner relationships along with timely, valid, and actionable data analytics are keys to success in value-based payment arrangements. Our senior scientists and data analysts have proven success developing algorithms using proactive data mining; data and trend analysis; exceptions identification; predictive modeling; and actionable reporting. Sharing resource information systems with multiple partners promotes common understanding of evidence-based care and has assisted thousands of clinicians.
Our compliance capabilities include gap assessments, contract and documentation audits, and numerous tools for compliance measurement and monitoring. We apply these resources to multiple programs of interest to behavioral health organizations including administration, care coordination, and disease management. In addition, we review and validate behavioral health Performance Improvement Plans (PIPs) on topics such as follow-up after a behavioral health inpatient admission.