Value-based Healthcare

Value-based models require data. And in an ideal world, all healthcare data is shared so care is highly coordinated and better outcomes result. Shared data, when anonymized, is the information foundation providers need to optimize patient service and improve healthcare for the broader population. TIBCO's data management and analytic solutions give federal providers the tools to meet challenges, successfully transition to value-based care, and measure improvements.

Benefits

Empower Patients & Providers

For too long, patient data has been under lock and key, leading to poor patient outcomes. Now, it's time to integrate health records and make them accessible to patients and providers. TIBCO's integration platform allows healthcare agencies to more efficiently bring data together, improve its quality and consistency, and empower patients to take ownership of their personal health.

Automate Claims Processes

The cost of bad data comes in many forms: low claims first-pass rates, administrative re-work, time-consuming research, and expensive provider and patient phone calls. For healthcare agencies, these costs quickly compound. TIBCO helps you automate transaction processing and enforce business rules and industry-standard protocols to save time and money, and free up resources for value-building initiatives.

Invest in Program Integrity

Preauthorization helps prevent fraud, waste, and resource abuse; stop improper payments before they go through; and avoid having to chase down patients and providers. TIBCO's platform proactively validates transactions on receipt, routes them for review based on content and context, and ensures compliance with industry standards and protocols.

Enable Interoperability

The CMS Interoperability and Patient Access final rule paves the way for patients to access their data and for system-wide interoperability and innovation. With the TIBCO platform, you can create and manage APIs for better interoperability, clean and integrate data, visualize current and future trends, and analyze to prepare your organization for whatever comes next.

Capabilities

File Transfer

Securely send and receive files among systems/applications, business partners, and users, using any protocol, with centralized control.

Data Management

Unify metadata, master data, reference data, and transaction data intelligently for better access, trust, and control.

Analytics & Dashboards

Identify insights in real time, act on intelligence for informed decision-making, and realize better business outcomes.

API Management & Integration

Create APIs to access any data source and secure them through robust authentication. Manage and analyze APIs throughout their lifecycle.

HL7 & FHIR Data Handling

Validate and translate HL7 v2 transactions such as ADTs & ORUs. Communicate with external FHIR servers, perform CRUD operations on FHIR resources, and support various FHIR specifications. Publish clinical decision support (CDS) Services.

Standards Compliance

Validate transactions and data to ensure HIPAA, CAQH, WEDI, HHS compliance.

Value-based Healthcare

Deliver value with data management and analytics