Ensure

Ensure is a data analytics software provided by Ensure Data Solutions. It serves as a central platform for healthcare organizations of all sizes, including small clinics, large hospitals, and managed care organizations. According to the vendor, Ensure offers intuitive and flexible tools for healthcare professionals to effectively manage healthcare data. This software is utilized by healthcare providers, accountable care organizations (ACOs), value-based care providers, Medicare/Medicaid payers, and management service organizations (MSOs).

Key Features

Membership: According to the vendor, Ensure provides insights into patient membership, including active, inactive, disenrolled, and transfer patients. It also offers trends and patient engagement data, allowing organizations to gain a better understanding of their patient panel.

Revenue: Ensure offers financial performance insights, enabling organizations to track high-risk patients and identify overall trends for accurate projections.

Referrals: Detailed information on referrals, including CPT codes and descriptions, is available in Ensure. This feature aims to help organizations increase control and prevent overutilization.

Reports: Ensure offers flexible reporting capabilities and a project management tool, empowering organizations to control all aspects of their operations. It supports both internal and external reporting.

Coding: Ensure includes HCC tracking and identifier to capture the patient's full risk profile. It also features HEDIS recognizer, a predictive model that projects the measures required to achieve five stars by NCQA guidelines.

RX: Detailed pharmacy utilization, cost, and prescriber information are available in Ensure. It also provides a replacement identifier to identify areas of improvement.

Hospitalization: Ensure allows organizations to manage alerts on admissions, discharges, and post-discharge appointments. It provides details that facilitate proper tracking of hospitalizations.

Claims: Ensure provides information on the total cost of inpatient and outpatient claims, with the capability to group by type and description. This feature aims to assist in increasing cost control.

ACO: According to the vendor, Ensure helps accountable care organizations (ACOs) enhance the quality and cost of care for Medicare fee-for-service patients. It offers monitoring and predicting care gaps, bi-directional interoperability with EHR platforms, admission, discharge, and transfer alerts, high-performance network analysis, and key financial reports.

VCP: According to the vendor, Ensure supports physician groups transitioning to value-based care and risk contracts. It aims to reduce the time spent on chart reviews, improve visibility of previously reported diagnoses and conditions, provide access to clinical data for improved patient health, and offer a HEDIS model for proactive planning. It also provides alerts for admissions, discharges, and transfers, along with risk stratification to mitigate readmission risks.