Health plans ask some key questions: Are my members sicker? Do we have the right admission criteria? Are we efficiently managing the total inpatient stay? Are we leveraging lower cost facilities, such as ambulatory surgical centers, SNF, rehab and observation care? Do we have the right benchmarks for the metrics we need?
John Ninomiya, PhD, a Milliman Principal and Marcos Dachary, MedInsight product manager recently presented a webinar to introduce Guideline Analytics, software functionality that organizes claim and/or billing data into Care Guidelines categories. The webinar focused on how the software provides comparisons of performance with care guidelines standards and with the performance of peer organizations, as well as providing insight into possible areas of opportunity for utilization management activity with a direct link back to the clinical categories and standards of the care guidelines.
If you missed the webinar, you can access a recording of the MedInsight Care Management Webinar: Guideline Analytics session. To listen to the webinar, click on the “Register” button, enter the requested information, and click “Complete Registration.” The webinar will then automatically stream to your computer.