Primary Care Analytics

 Patient Recruitment Management | Engagement &  Utilisation Analytics | Wearables & Device Data Analytics | Website & DPC Marketing

Analytics powers impact in modern primary care

Care Fragmentation

Challenge: Patients often bounce between providers and specialists without coordination, leading to duplicated tests, missed follow-ups, and poor outcomes.

Analytics Solution:

• Care gap analytics can identify patients who haven't had required screenings, labs, or follow-ups (e.g., missed HbA1c in diabetics).
• Network leakage tracking detects when patients go out-of-network for services, enabling outreach and redirection.
• Referral pattern mapping helps PCPs choose high-quality, cost-efficient downstream providers.
  

Low Patient Engagement & Visit Inefficiency

Challenge: Visits are short, transactional, and reactive, driven by volume rather than relationships.

Analytics Solution:

• Risk stratification flags high-need patients for proactive outreach (e.g., recent ER use, uncontrolled hypertension).
• Visit optimization algorithms suggest agenda items per patient based on their longitudinal data (e.g., “discuss smoking cessation today”).
• No-show and cancellation predictors help optimize scheduling and reduce lost revenue.
  

Inaccurate Risk Adjustment / Coding Gaps

Challenge: Incomplete documentation leads to underpayment from payers in value-based contracts.

Analytics Solution:

• HCC coding analytics surface unreported conditions based on clinical indicators and notes (e.g., DM w/ complications not yet coded).
• Predictive coding tools review charts for missing risk indicators that justify higher reimbursement.
  

Inappropriate Utilization of Higher-Cost Services

Challenge: Many patients end up in ERs or urgent care for issues that could be handled in primary care.

Analytics Solution:

• Avoidable ED visit analysis identifies patterns in after-hours visits or patients lacking access.
• Real-time alerting when patients hit the ED or are admitted allows for immediate care team follow-up.
• Utilization dashboards compare practice benchmarks for labs, imaging, or referrals to identify overuse.
  

Operational Inefficiencies

Challenge: Insurance billing, prior auths, and documentation overload staff and reduce focus on care.

Analytics Solution:

• Revenue cycle analytics track denial patterns, underpayments, and claim lag to improve cash flow.
• Prior auth heatmaps identify which payers and services cause delays, enabling automation and negotiation.
• Staff workload analytics help rebalance team-based care delivery (e.g., optimize MA-to-physician ratios).
  

Chronic Disease Mismanagement

Challenge: Many chronic conditions remain uncontrolled due to poor monitoring and episodic care.

Analytics Solution:

• Chronic disease registries with dynamic risk scoring prioritize outreach (e.g., uncontrolled diabetics with CHF).
• Medication adherence dashboards surface refill gaps using pharmacy claims data.
• Longitudinal trend analysis shows improvement or deterioration over time for conditions like CKD or COPD.
  

Limited Visibility into Total Cost of Care

Challenge: Most PCPs don’t know how their patients’ care choices impact overall spend.

Analytics Solution:

• Total cost of care dashboards tie PCP panel spend to specific services, settings, or patterns (e.g., high SNF use).
• Cost attribution models show impact of primary care interventions on downstream savings.
  

Provider Burnout & Low Morale

Challenge: Insurance demands lead to documentation overload, less face time with patients.

Analytics Solution:

• Time tracking dashboards identify non-clinical task burden per provider (e.g., admin, EHR tasks).
• Burnout early warning models flag trends in after-hours EHR use, visit intensity, or declining productivity.
  

Primary Care Marketing Agency

Website Development

Your online presence starts with a stunning website. Our expert Developer craft visually appealing, user-friendly sites optimized for healthcare.

SEO Service

Be the go-to healthcare provider in your area. Our Local SEO strategies boost your visibility, driving more patients through your doors. 

Patient Engagement & Lead Management

Enhance patient experiences and streamline your workflow with our patient engagement and lead management solutions. 

Social Media

Harness the power of social media on platforms like LinkedIn, Instagram, Pinterest, Quora, and Reddit. Engage, educate, and grow your audience organically. 

Content Marketing

Quality content establishes authority. Our content marketing team creates valuable resources that educate, engage, and convert your audience. 

PPC & Display Ads

Maximize your reach with Pay-Per-Click and Display Advertising campaigns. Get noticed by the right audience at the right time. 

Discovery & Assessment

Domain + Tech team works with client to discover the problem statements & asses the current situation

Cloud Migration, Modernization & Automation

Dark to Cloud, Cloud Migration, Infrastructure setup & DevOps Automation

Design, Architecture & Solution/Product Engineering

UX Design, Solution Architecture parlaying in to Engineering of products/solutions

Support & Maintenance

Making sure of the uptime and maintaining the uptime