The Risk Navigator suite wraps business intelligence around superior health data analytics to help payer organizations improve quality of care through improved care coordination, proactive identification and management of high-risk patients, targeted intervention efforts, and accurate measurement of physician, facility, and care management performance.

Our solution suite includes:

Predictive Modeling/ Risk Stratification
– Identifies and stratifies high risk members
– Provides actionable insight for population management

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Real-time Compliance Monitoring
– Provides real-time monitoring of patient compliance to evidence-based medicine guidelines
– Supports the creation and monitoring of custom guidelines

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Physician and Facility Cost and Utilization Performance Analysis
– Designed to profile and compare cost and utilization patterns for physicians and hospitals
– Uses industry standard risk adjustment methodologies

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Physician Patient Registry
– Provides treatment compliance summaries for patients
– Facilitates access to complete patient medical histories

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Risk and Financial Analysis
– Designed to support account management, underwriting and actuarial functions
– Enhances health plan-employer communication

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Behavioral Health Drug Monitoring
– Addresses inappropriate prescription patterns
– Facilitates physician intervention

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Medication Therapy Management Solution
– Identify appropriate populations for enrollment
– Effectively track and report program results

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