Healthcare

Improving value and outcomes to achieve a healthier, patient centered future

CVP’s Health Solutions

As healthcare evolves, measuring and improving care quality, increasing the value of care, and leveraging technology becomes essential. When partnering with our clients, we use the right people, processes, and data to drive continuous improvement in our services, our customers’ performance, and in the healthcare ecosystem. 

Our clinical, health, business, and technology experts join forces to use their expertise in creating innovative and informed solutions. Our structure and processes generate consistent and reliable results for clients. Our research scientists, UI/UX experts, and software engineers capture, clean, and analyze data to optimize customer performance and measure healthcare cost and quality. 

The right people, processes, technology, and data, combined, will deliver comprehensive solutions to improve patient and beneficiary outcomes. Using our expertise across clinical care, Medicare, Medicaid, and private payers, we help clients with:

  • Care Delivery Program Support
    • New Care Delivery and Payment Models
    • Clinical Innovation
    • Monitoring
    • Program Evaluation
    • Fraud, Waste, and Abuse Prevention and Detection
    • Policy Analysis
  • Advanced Analytics
    • Assess the quality of care provided through advanced analytical capabilities
    • Social determinants of health data to deliver care to patients and achieve population health
    • Actionable insights from raw data out of disparate data sources to improve decision-making
    • Create and identify meaningful performance and quality measures
    • Public reporting for quality reporting programs
  • Education, Training, and Outreach
    • Enrollment in Health Programs

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We create immersive teams with experts from our practice areas to transform healthcare through comprehensive solutions from conceptualization, to implementation, to evaluation. Our health experts bring expertise across multiple areas in healthcare including:

  • Quality Measurement
  • Medicare and Medicaid Policy 
  • Medicare and Medicaid Demonstrations and Models
  • Multiple Chronic Conditions
  • Serious Illness
  • Hospice and Palliative Care
  • Clinical Innovations

Our clients include the National Institutes of Health, Administration for Children and Families, Health Resources and Services Administration, Centers for Medicare and Medicaid Services, and Defense Health Agency.

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Representative Projects

Improving Performance Metrics and Analytics on Healthcare

State agencies manage billions of dollars of Medicaid funding. They may explore alternative models of service delivery and financing. These demonstrations exceed over $100 billion annually. CVP has delivered a cost-effective Medicaid data analytics platform that streamlines data collection, tracks performance-based incentive payments, and produces analytical reports. It is open-source and 100% Cloud-hosted. Medicaid uses this platform to monitor the program, carry out policy research, and objectively evaluate if the state experiments are producing the expected results.

Finding the Analytical Keys to Improving Healthcare

Medicare and Medicaid are shifting the federal healthcare system toward a quality strategy to optimize health outcomes by leading clinical quality improvement and transformation through select programs. CVP leads the data analytics and ad hoc reporting efforts to support this initiative. The program handles several terabytes of healthcare quality and related data spanning billions of healthcare records from multiple data sources. CVP performs data extraction, harmonization, complex data analytics services, and applies big data technology to answer key reporting, oversight, and research questions.

Streamlining Research Oversight Systems

An agency performing oversight and advice on research and compliance matters, including the ethical use of human subjects, laboratory animal welfare, research safety protocol, privacy and information security, and research misconduct, in a major healthcare organization. The legacy system was a dead-end application that could not satisfy case management needs of researchers in laboratories or oversight personnel. CVP designed and delivered a new case management solution that could adapt to the workflow requirements and expand to cover new needs.

Tracking Down Fraud, Waste, and Abuse in Healthcare

CVP provides Medicare with data analytics services to tackle risks and vulnerabilities related to participant compliance and Fraud, Waste and Abuse (FWA) in the Medicare’s Innovation Center models. These analytics offer the promise of improved performance. However, they may not fit standard preventive and corrective measures for potential FWA. CVP teams develop evaluation reports and recommendations to identify payment, usage, and billing patterns that may point to FWA, vulnerabilities or noncompliance. Recommendations help Medicare develop procedures for its Fraud Prevention Program.

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