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MCM Data Reporting Tools provide the necessary data for proactive decision support you need to manage your health care program.

Standard Reporting includes:

Utilization Management Reports

  • Comprehensive utilization management reports
  • Normative benchmarking for each hospital patient reviewed based on their age, sex, diagnoses and specific procedures
  • Analysis by service type, hospital used and major diagnostic category
  • Case Management reports include savings, expense and ROI
  • Quarterly and “on-demand” reporting

Disease Management Reports

DSM Activity by:

  • Disease Entity
  • Member Status
  • Participant Compliance Score

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