Medical Management Firms
With the Predict Suite Medical Management Firms can:
- Position themselves as the prototype Medical Management firm with payers by quickly identifying claims and clinical issues that will breach spec, or worse
- Become part of the growing trend of Medical Management firms who are solving the catastrophic claims problem with technology and data analytics products, like PredictDx/Rx
- Differentiate your services in a way that are meaningful to your customers health care spend
- Gain enhanced ability to react proactively on most costly diagnosis and effectively communicate it to your customer
With the Predict Suite Nurse Case Managers can:
- Uphold quality and cost effective interventions and outcomes on high dollar diagnoses
- Increase productivity by 10x
- Eliminate outside vendor fees by negotiating with providers in-house
- Provide cost effective clinical expertise in a timely manner
- Easily identify problematic claims and clinical issues within one resource – in just a few clicks
Join other cutting edge Medical Management firms meeting the ever increasing demands placed on them to get a handle on “High Dollar” claims.
Quickly and proactively identify medical necessity and experimental/investigation issues
Become an even more valuable and efficient resource to your client by having access to the most comprehensive clinical and financial data.
Accurately focus on the 220+ most costly diagnosis that can have the most adverse impact on your employer groups
Reduce or eliminate the reliance and fees on outside vendors (underwriting, cost containment, case management