Risk Assessment & Business Intelligence
Healthcare is the second highest balance sheet expense for employer health plan sponsors, yet most employers lack the visibility of the quality of care and into what drives the costs.
Med-Vision uses best-in-class healthcare data-gathering and analysis to answer the following:
- What are the true cost drivers of our plan?
- What percentage of our members is driving high costs?
- Are any plan components barriers to preventive care for our members?
- What procedures are high cost?
- Are contracted vendors performing with concern for our members?
- How many of our members are working with nurses to manage their diseases?
- Is our pharmacy benefit plan optimal for our members?
- Are vendors financially transparent?
- What are the clinical precursors of our large claims?
- What is being done to mitigate future claims?
- How are duplicate claim and ineligible claim payments being audited?
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