Reporting & Analytics
WE'RE NERDS AND NURSES!
Our greatest passion is your wellbeing. But that doesn't mean we offer simply "feel-good" programs. USPM gives you so much more. We turn the data we collect into knowledge and actionable intelligence. That is, we integrate thousands of data points from The Preventive Plan, medical claims, pharmacy claims, lab data, and health assessment data into a centralized person-centric data model.
This platform includes data consumption processes, analytics, outcomes, and intelligence in support of our population health and disease management programs. Our advanced and customized platform is an open, flexible architecture that handles the import of eligibility, medical, pharmacy, biometrics, and other data from a variety of sources into a centralized repository.
WHAT OUR PLATFORM INCLUDES
We identify the prevalence, costs, and risk of chronic diseases across your population, as well as the potential savings through the implementation of our wellness programs.
This includes ongoing processes to manage participant eligibility for program participation, allowing clinicians to review eligibility, claims, and utilization history.
Minimizing risk in your popluation is essential for the wellness of your company and your employees. We strategically identify participants who are eligible for our services.
We keep you up to date with the progress of your enrollees. This includes regular reporting of outcomes, including PMPY costs, utilization, gaps in care, risk reduction, and participation.
CARE MANAGEMENT ANALYTICS
With our care management services, we run a disease/condition identification process to identify participants with certain diseases or conditions that would benefit from our programs. The disease/condition identification process integrates the medical and pharmacy claims isolating certain diagnosis codes, procedures, or medications that would indicate a person has a chronic condition such as diabetes, heart failure, asthma, CAD, etc. We take this actionable intelligence and proactively conduct outreach to individuals to address these chronic conditions that escalate health care costs.
PROGRAM OUTCOMES AND ANALYTICS
The other end of the process is our outcomes and analytics. We provide the in-depth outcomes and analytics that are used to tell the story of what we do – how we reduce risks, increase compliance with preventive screenings, reduce in-patient and ER visits, show the return on investment, and in general, show how we improve the overall health, and quality of life for our members.
Our health intelligence services are done 100% in house. There is zero outsourcing of this service. The entire health intelligence platform was developed in-house and all outcomes and analytics are provided by our team. We continue to build new rules and algorithms every day as our products and our clients’ needs evolve.