Manage Network Utilization

Manage Chronic Care, Manage Resources, Manage Costs

Optimizing Healthcare Utilization

In shared-savings models, success comes to those who can improve care with limited resources. Fortunately, there’s a simple formula for optimal network utilization: deploy resources where they do the most good.

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Deep insight, maximum resource impact

With high-need, complex populations on the rise, health plans managing these beneficiaries need to control costs through effective chronic care and disease management.

That means tapping into data, incorporating predictive models, building evidence-based care plans and identifying the most appropriate interventions for specific clinical conditions.

  • Automated care workflows, with clinical programs designed specifically for government patient populations
  • Robust data that directly aligns with Medicare- and Medicaid-specific requirements and quality and compliance reporting
  • Accurate metrics and analytics to understand utilization trends and measure clinical, quality and financial improvements

Identify at-risk and rising-risk members sooner. Drive effective interventions to reduce readmissions and cost. Keep members in-network to better manage care quality and cost.

With the right tools, health plans can deliver advanced patient care at a lower cost.

MEDECISION’S ADVISORY SERVICES TEAM OFFERS EXPLORATORY ASSESSMENTS TO HELP YOU IDENTIFY OPTIONS AND STRATEGIES TO ACHIEVE CLINICAL AND FINANCIAL SUCCESS.

Request an Assessment