- Is Your Health Plan Identifying and Managing Risk?
- Do you know the true prevalence of chronic conditions and care gaps?
- Have you got a handle on exactly what is driving your present and future costs?
- MCM’s Risk Solutions provide the first steps to effective plan risk management.
- MEDai Predictive Modeling of Medical & Rx Claims
- Initial 24 month retrospective analysis to establish disease prevalence, gaps in care, plan cost drivers and forecasted risk.
- Ongoing monthly analysis of all medical and Rx claim data
- Web Based data access for our payer partners
- All analyses conducted by Registered Nurses and Physicians
- Personal Health Risk Assessments
- Web-Based with instant member feedback
- Educational links targeted to member risk
- Registered Nurse review of results and member engagement
- Plan summary report on preventable risk helps focus interventions and education
- Onsite Biometric Screening
- Finger stick or venipuncture options
- Testing for key risk factors
- Onsite member results
- Immediate member engagement
- Identify Plan Health and Cost Risks.
- Focus Education and Engagement of At-risk Members.
- Identify At-risk Members Flying Under the “Claim” Radar.
- Increased Identification of Potential High Dollar Claims