Applied Analytics for Risk Discovery

A risk management analytics and advisory services package for ACOs, CINs, providers, and hospitals that want to improve resource utilization, reduce drug costs, and coordinate care for chronic patient populations.

Gain Rapid Insights into Managed Populations

Manage your risk-based contracts with data on your population risk levels, patient utilization, and physician engagement. Use reliable data to negotiate your capitated, shared-risk, and value-based care agreements.

Improve network care quality by providing your care managers with actionable analytics to help them improve resource utilization. Gain physician support with credible data.

Uncover hidden opportunities to reduce costs, manage risks, and influence patient behavior. Our analytics service uses paid medical and pharmacy claims and other data sources to surface actionable intelligence.

Identify prime candidates for care management programs to help improve quality outcomes. Help reduce costs by targeting patients with chronic conditions who frequently use clinical services.

Meet your cost management targets by discovering opportunities to reduce prescription drug costs. Determine expenses lost to out-of-network referrals.

Achieve risk management goals, such as outcomes achievement planning and the creation of a best practices playbook. Our advisors help you conduct a data source/readiness review and annual trainings.

Optimize Costs with Proactive Risk Management

Data discovery and visualization tools

  • Impact utilization rates with subscription-based analytics content. The rich data visualization tools available in Analytics Explorer™ help your team uncover savings opportunities to optimize costs.
  • Mine insights from a wide variety of data sources – including member eligibility data, provider linkage files, and paid medical and pharmacy claims. Data is refreshed monthly and upgraded annually.
  • Elevate your risk management strategy with consulting support for ad hoc reporting packages,
  • improved workflow design, and the establishment of a care management program.

Resource utilization analytics

  • Identify patients with chronic conditions who frequently utilize clinical services. Care managers can quickly target patients who would benefit from managed care.
  • Evaluate appropriate resource utilization, including emergency department (ED) visits and hospital admissions. Determine trends in low-acuity ED visits, as well as ED visits by super-utilizers.

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Applied Analytics for Risk Discovery

A risk management analytics and advisory services package for ACOs, CINs, providers, and hospitals that want to improve resource utilization, reduce drug costs, and coordinate care for chronic patient populations.