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.
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
Medical and pharmacy claims, membership, authorization, and care management data provide a comprehensive view of everything from strategic economic issues to specific care management opportunities.
Predictive analytics identify opportunities for intervention and prevention.
Share insights with plan staff and providers to organize, prioritize, and target care to reduce both risk and cost.
What It Offers
- Healthcare economics
- Care management
- Identification and stratification
- Medical policy guidance
- Data democracy
- CM/DM program effectiveness