The New Standard For Gaining Insight & Efficient Care Management Resources
As health care costs continue to rise on health plans and at-risk-providers, our solutions and analytic platform helps you look for ways to contain costs and risk. Knowing where to target your care management efforts is a critical component of cost containment and population health management.
Strategies to identify high cost members within a population often focus on high cost members in the current or prior period, using the population’s member as the unit of measure, i.e. “patient as their own control”. This approach ignores the “regression to the mean” phenomenon, i.e. majority of high health care cost members in one period will often regress to a lower cost in the next period.
The Patient-Centered Medical Home (PCMH) is a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand. This model holds promise as a way to improve health care by transforming how primary care is organized and delivered.
Our single platform, data integrated environment provides robust support for HEDIS and Medicare Advantage STAR quality measures. Reports are delivered through our secure, web based client portal, including drill-down capabilities from summary to more granular providers and members details.
MedisoftRx is comprised of experienced, accomplished and highly skilled group of health care and health information management professionals.
Targeted application. Increase the likelihood that patients will receive the care they need.