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.
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
Create ad hoc reports in just a few minutes, a reduction of 80%
Answer questions 80% faster with automated healthcare reporting
Gain control over expenditures reducing claim costs by 5%
What It Offers
- Healthcare economics
- Care management
- Identification and stratification
- Medical policy guidance
- Data democracy
- CM/DM program effectiveness