Transforming Medical Management
With the continued growth of healthcare spending, health plans are focused more than ever on managing their medical costs. Health plans are discovering that analytics holds the key to improving the efficacy of medical management and fostering partnerships between plans and providers to maximize resources.
This session presents innovative strategies for identifying, stratifying and engaging care management members. Content will include examples and best practices from health plans.
In this session you will learn how to:
- Identify the segment membership that can yield the greatest impact
- Track the effictiveness of your care management programs
- Use analytics to identify outliers in your network
- Leverage the key metrics of your program to support your pay-for-performance and shared-risk contracts
Employer Reporting provides collaborative, modern health care analysis and reporting that increases employer retention, reduces strain on internal reporting staff, and improves client satisfaction. Employer Reporting integrates with MedeAnalytics’ full enterprise suite.
Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.