Healthcare Economics

Identify the patterns that reveal savings.

Crucial to the success of any health plan is analyzing healthcare economics and understanding high-cost members to steer them toward quality, timely care. Healthcare Economics pinpoints patterns and correlations that reveal opportunities for savings. It enables you to take strategic action, mitigate catastrophic claims, promote better health, and gain insight into costs, quality drivers, and at-risk populations.

We can now easily track KPIs such as number of visits, amount paid per patient, network usage, etc. and share the data with the business groups who can then use this to change processes as needed to drive savings.
— VP, Strategic Practices
  • Analyze healthcare economics

  • Identify high-risk members for care management

  • Offer self-service analysis to medical management staff

  • Measure utilization across various service categories

  • Focus efforts on areas most likely to achieve organizational goals

  • Share performance metrics across the organization

  • Increase Productivity

    Create ad hoc reports in just a few minutes, a reduction of 80%

  • Improve Efficiency

    Answer questions 80% faster with automated healthcare reporting

  • Reduce Costs

    Gain control over expenditures reducing claim costs by 5%

Identify chronic members in need of improved care.

Identify chronic members in need of improved care.

Target specific interventions to improve cost and quality.

Target specific interventions to improve cost and quality.

What It Offers

  • Healthcare economics
  • Care management
  • Identification and stratification
  • Medical policy guidance
  • Data democracy
  • CM/DM program effectiveness
Questions? Talk to one of our experts. Contact us