Data Management Strategies
What We Offer
St. John’s
uses state-of-the-art information systems to collect, store, track and
analyze data in a meaningful way. This advanced system allows us to
efficiently:
Generate
custom reports on health plan costs, member utilization trends,
provider practice and billing patterns, risk factors and incidence of
disease within a given populationMaintain
complete plan, provider and patient recordsMonitor
patient health status and clinical outcomesTrack costs
and utilization of health c are resourcesDetect and
prevent inappropriate utilization, improper billing and fraudProcess
customer, member and provider satisfaction surveysExtrapolate
data for case management, utilization review, member education,
disease management and wellness programs and quality improvement
initiativesEvaluate
plan according to various quality and performance measures, such as HEDIS (Health Plan Employer Data and Information Set) report cards
How We're Different
Most
traditional third party administrators process claims data and provide
you with utilization and financial reports that offer numbers but no
solutions. We add our clinical insight and perspective to paint a more
accurate and timely perspective of your healthcare portrait. We use
the data from multiple sources to identify population health issues
among your employees and offer strategic, knowledge-based solutions.
We improve the management of their care by improving the quality of
their care.
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