Medical Management Analytics

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Reduce medical expense by more than $2.00 PMPM through better medical management

Core Drivers of Value
  • $0.80 to $1.10 PMPM via improved utilization management
  • $0.45 to $0.60 PMPM via optimized utilization
  • $0.65 to $0.90 PMPM via increased quality

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Examples of key performance indicators in Medical Management Analytics

Solution Overview


Medical Management Analytics enables medical leadership to manage healthcare utilization and quality more effectively. Whether addressing readmissions ($0.55 to $0.75 PMPM), appropriate place of care ($0.20 to $0.25 PMPM), or appropriateness of care ($0.35 to $0.40 PMPM), clients who have implemented Medical Management Analytics have experienced substantial savings.
Medical Management Analytics is the only solution on the market that connects clinical expertise with a robust, easy-to-use performance management platform, ensuring high adoption rates and therefore results. Medical directors and clinical personnel are able to make superior decisions regarding medical policy.
MedeAnalytics aggregates claims, pharmacy, membership, authorization and other data to provide clinical service teams with a centralized, robust view of care delivery and quality. Combining these disparate data sources and generating sophisticated, composite performance indicators with zero lag time and no capital investment allows health plans to ensure effective, efficient, quality care for their membership.
Medical Management Analytics is delivered via a web-based performance management platform and supported by experienced healthcare professionals to ensure rapid and sustainable results. MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices and payers—to ensure accountability and improve financial, operational and clinical outcomes.
Learn more about Medical Management Analytics
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"MedeAnalytics enables us to identify and quickly focus efforts to collaboratively improve medical management by screening trends in cost drivers and performing drill downs to identify and address root causes."

- Meredith Mathews, M.D.

SVP and CMO Blue Shield of California