Improve Contract Performance Financially and Operationally
Mede’s "Provider Contract Performance" solution provides a comprehensive business intelligence platform
that enables Health Plans (payers) to manage the complex environment and performance of provider
contracting. With this solution, decision makers can proactively monitor provider reimbursement and billing
practices including: budget to actual performance, service disparities, cost outliers, up-coding and
benchmarking, amongst others.
Know Contract Results Before It’s Too Late
- Continuously monitor contract budget to actual dollars
- 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
- Trend provider charge master dollars to identify increases
above contractual agreements
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.
Marketing and Strategic Planning
Predict future performance based on historical
data analysis and automated regression, neural
networks, and statistical models.
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.
|
