Payer & Employer Solutions: Integrated Analytic and Workflow Tools that Improve Quality and Outcomes
Scorecards & Provider Profiling Download PDF
MedVentive's advanced reporting and analysis capabilities allow users across your organization to filter and analyze data to drive improved clinical and financial decision making. State-of-the-art OLAP technology supports drill down to the individual member and claim level detail, delivering virtually unlimited flexibility to sort and group data.
Whether you are modeling tiered network arrangements, developing fee schedules or comparing rates of imaging utilization, MedVentive has the solution to your analytic needs.
Key features:
- Integrated Episode Treatment Groups™ (ETGs), Diagnostic Cost Groups™ (DCGs) and Evidence Based Medicine Guidelines provide sophisticated credible profiles.
- Graphical risk-adjusted PCP Profiles and case-mix adjusted specialty profiles measure efficiency indices for individual physicians.
- Standard report views track High Cost Members, Inpatient Admissions and Leakage, Emergency Room Costs, and Outpatient Utilization Rates across all clinical categories and types of services - in all, more than 100 report views
- No canned reports; multiple parameters of all our preformatted reports can be customized by the user on the fly.
- Calculation of all HEDIS metrics, plus the capability to create and calculate quality metrics unique to your organization
- Continuously updated MedVentive Dashboard reports track trends over time, identify outliers, and keep your finger on the pulse of your provider profiling program
- Our data refresh process updates your reports with new data soon after it is available
