Payer Solutions

• Payer Solutions
• Performance Scorecards

• Medical Management Analytics
• Performance Management Analytics

• Employer Group Analytics
• Network Management Analytics

• Management Dashboards
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MedeAnalytics delivers healthcare performance management solutions that improve
financial, operational and clinical outcomes, with compelling return on investment and rapid time-to-value.

Learn more about:

• Client Delivery Services
• MedeAnalytics Platform

Measure and manage the cost of operations, cost of care and cost of quality to improve outcomes and affordability for health plan members.

Medical Management Analytics enables health plans to monitor service patterns to ensure members receive effective, high quality care. Recognize true Centers of Excellence, establish and monitor clinical best practices and identify over and under utilization. MedeAnalytics provides clinical service teams with a centralized, robust view of care delivery and quality.

Medical Management Analytics is delivered on a web analytics platform and supported on a daily basis by experienced client service teams to ensure rapid and sustainable results.

How do health plans use Medical Management Analytics?

• Trend services by diagnosis, provider and region to identify outliers in length of stay, quality, cost and coding
• Benchmark provider performance against network and industry best practices
• Monitor high cost services and shifts in care delivery that potentially impact access, quality and cost
• Identify wellness opportunities and direct staff resources effectively

The MedeAnalytics Approach to Medical Management Analytics

• Suite of clinical, financial and operational solutions for health plan management
• Strategic executive scorecards, personalized dashboards and dynamic analysis
• Healthcare advisory services, data analysis, hospital benchmarking and best practices
• Rapid configuration and ongoing healthcare support services
• Transformation of disparate data silos into a web-based, collaborative intelligence platform
• Software-as-a-Service delivery model requires no hardware, no software and no IT support