ANALYZE
Prescriptive Analytics and Actuarial Science
EVALUATE
Peer to peer evaluation from our panel of Medical Doctors and Administrators
BENEFIT
Exceptional transparency resulting in 10 to 25% specific actionable savings
A Whole New Way of Looking at the Data
Our system tracks the doctors and clinics and every expense by every zip code. We help you identify financial, clinical and operational performance improvement opportunities to maximize the value of each contract.
Our Health care claims management solution uses Advanced Actuarial Science and Prescriptive Analytics to identify cost saving opportunities that exist within the doctor networks and clinical pathways to realizing substantial healthcare savings.
Solutions that Scale to Your Needs
A value-based, care performance management, analytic platform to enable healthcare entities to better manage value-based contracts.
ONE-TO-ONE
Population Health Management
One-to-One individual Outreach Revenue and quality benefits:
- Improve on 200+ quality measures
- Use EHR data to improve risk adjustment
- Close care gaps & improve compliance
ONE-TO-MANY
Enterprise Performance Management
One-to-Many Care Delivery Solutions Revenue, cost and quality benefits:
- Actuarial Modeling and forecasting
- Create higher performing networks
- Eliminate medical non-necessity
Payers, Providers and Payviders
- Hospitals
- Insurance Companies
- ACOs
- HMOs
- PPOs
- Self-Funded plans
Benefits to Consultants
Self-funded Medical Plans, TPAs, Brokers
- Long term contracts
- Lower reinsurance premiums
- Lower expected funding requirement
- Competitive edge to underwriting risk
- Lower specific claims experience
- Market differentiator
- Attracts new business
What Our Prescriptive Analytics Technology Provides
Advisement, modeling and analytic services on a cloud-based SaaS performance management platform
- Financial Analytics
- Patient Attribution
- Risk Stratification
- Physician Analytics
- Clinical Analytics
- Operational Analytics
