A Proactive Approach to Improving Care
Medical Management Analytics enables decision-makers to proactively monitor service patterns to ensure
members receive the most effective care at the best cost. Mede’s web-based business intelligence
platform provides insight into the services provided with the corresponding coding, charges and
reimbursement information. This allows for comparative performance amongst providers, IPAs, and
physicians; it also identifies up-coding, quality concerns, and unnecessary outliers.
Know Contract Results Before It’s Too Late
- Continuously monitor contract budget to actual dollars
- Trend services by diagnosis, provider and region to identify outliers in cost, length of stay, coding
and necessity
- Identify and manage provider up-coding
- Lower medical costs by benchmarking providers and driving business to those with high quality
at the best price
- Obtain timely insights to data – insights which are accurate and valuable
- Analyze IPA performance and it’s effect on hospital costs and IPA reimbursement
Alerts and Targets
Automatically push key indicators and variances to decision-makers
building real-time exception driven performance management.
Historical Trending
Instantly drill into historical trends on every granular metric; highlight
spikes, seasonality, and track performance improvements.
Forecasting and Predicting
Examine payer reimbursement trends and the impact of contract terms
on hospital margins. Negotiate smarter contracts that maximize
profitability.
Benchmarking
Compare and target your financial and operational performance to
internal and external benchmarks.
The Mede Business Intelligence Platform
Medical Management Analytics is part of a full suite of healthcare
analytic solutions delivered on the Mede business intelligence platform.
By aggregating disparate data systems and providing web-based
analytics to business decision-makers, Mede provides a
comprehensive solution for business performance management.
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