- MCM Provides our Partners the Gold-Standard in Predictive Modeling
- Incorporate all medical & Rx claims as well as eligibility data
- Apply eleven distinct analytical systems and overriding clinical engine to provide reliable predictions of plan and member cost, risk level, gaps in care and member engagement opportunities.
- Initial 24 Month Retrospective Analysis of Medical and RX Claims
- Establish your health plans baseline prevalence of chronic conditions, member gaps in care as well as what’s driving plan cost and forecasted risk.
- Ongoing Monthly Analysis of Medical and Rx Claims
- Identification of “at-risk” members
- Monitor member and plan gaps in care
- Identify disease / case management opportunities
- Web-based Report Access for our Partners
- High Risk Members
- Mover Members
- Gaps in Care
- Comparisons to Population
- Cost and Risk Trends over Time
- Accurate, Ongoing Identification of Chronic Conditions and Care Gaps in your Plan
- Focus Member Engagement and Plan Wellness and Prevention Initiatives on Actual Risks and Cost
- Improved Management of High Cost, High Risk Catastrophic Conditions.