Successful techniques and applications from MedInsight for Employers
MedInsight is the most comprehensive and complete healthcare data warehousing, management, analytical, and performance reporting system available in the industry today.
Issues Employers Face Today
- What are our cost trends and what are the driving trends?
- Should benefits be redesigned to moderate costs?
- How does our cost and utilization rates compare to benchmarks?
- Would a different network choice reduce costs?
- Are claims being paid correctly by the TPA/Health Plan?
- Are there employee health interventions that would reduce costs and absenteeism?
- Should emerging products, such as consumer directed plans, be considered?
- Is safe and high quality care being delivered to employees?
How the MedInsight modules add value to your organization
The modules work with different data sources and incorporate nationally known and established Milliman tools, databases and methodologies including the Milliman Health Cost Guidelines as well as leading national tools and techniques. MedInsight also includes nationally recognized severity and risk adjustment tools, disease and case grouping, as well as predictive cost and utilization modeling capabilities and management. The result – benchmark data tailored to your population and health plan highlight variances with the greatest opportunities for improving performance.
Whether you need to measure variances or need to target interventions in areas like utilization and cost, employee health risk and expected resource patterns, administrative costs, completion factors, and much more, MedInsight has the tools you need. MedInsight also includes a dynamic, web-enabled reporting tool that supports standard reports and provides immediate, user-friendly access to drill down and ad hoc reporting and analysis.
How can your health plan integrate MedInsight into your operation? MedInsight is designed to feed and support existing operating and management systems and tools within your organization. Whether it’s budgeting and financial functions dependent on real time data or the need to identify high risk members early for intervention programs, MedInsight can be integrated directly into and work in tandem with your tools.
For information about MedInsight Employer Plan modules, click here.
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