News & Updates  |  April 2015  
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The Next Level of MedCost Care Management Is Here

MedCost Benefit Services is pleased to announce that we have enhanced our Care Management product suite through a strategic partnership with Deerwalk, Inc., a healthcare analytics and custom software development company. This new partnership and the capabilities it provides, along with the outstanding results already produced for our clients, offer better quality of care for members and better cost management over time.

MedCost’s Care Management programs—Personal Care Management Nurse Health Coaching, Complex Case Management, Transitional Care, SmartStarts Maternity Management, and Inpatient and Outpatient Utilization Management—have consistently delivered impressive outcomes and returns on investment for clients. The incorporation of Deerwalk Advanced Analytics software into our existing Care Management product suite creates a more sophisticated level of clinical insight into the health of clients’ employee populations. 

“We are thrilled to be utilizing truly leading-edge advanced analytics that include big data technology, Milliman Advanced Risk Adjusters, and Truven Health Analytics MarketScan® benchmarks. By integrating this solution with MedCost’s existing proprietary system, we can identify health plan members by category of risk, monitor shifts in those risks over time, and predict members’ future health status and potential costs for a client’s health plan,” explained Sharon Lambros, Vice President of Product Management and Outcomes for MedCost. “It allows our clinical staff to have a 360-degree view of a member’s current health, so we can target our Care Management outreach and interventions to focus on those members with the greatest potential for high utilization of medical services in the future. This tool also gives us a thorough snapshot of a client’s population health, so we can help them evaluate the effectiveness of their current plan design.”

Clients utilizing MedCost’s Care Management products will see evidence of the new analytics process in their quarterly report packages. Widespread changes in reporting to incorporate advanced analytics data are planned for the second quarter of 2015. 

For more information about MedCost’s Care Management programs, please visit www.MedCost.com or contact your MedCost Benefit Services Account Manager or Sales Representative.
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