Posts by Bill Bramble
Predictive Analytics and Cost Containment
Predictive analytics is essential for managing medical expenses and enhancing health outcomes for health plan members. The Health Risk Monitor (HCRM) app identifies “MOVERS,” who are members expected to experience a substantial increase in costs and clinical risks. Clinical users can quickly and accurately pinpoint and categorize members based on their future healthcare expenses and…
Read MoreIDENTIFYING MEMBERS NEEDING INTERVENTION PRIOR TO PROJECTED INCREASE IN COST
How do you identify members at risk for future health problems? Some use projected cost in the next year or the risk categories to identify members needing intervention. The question here is: can we identify members who would benefit from intervention before their projected costs identify them as at risk? HCRM provides each member with…
Read MoreHCRM PLATFORM TO INCLUDE COVID-19 REPORTING
Health Cost & Risk Management (HCRM) announces a COVID-19 Report available to identify plan members who are at significant risk of contracting the virus and having the most adverse effects. HCRM’s platform, Health Risk Monitor, will also provide reports specifically showing COVID-19 spend and risk trends.
Read MoreIMPACT OF PREDICTIVE ANALYTICS
The Impact of Predict Analytics can be demonstrated in HCRM’s most recent enhancement called the “Playground” in Health Risk Monitor. The Playground provides outcome reports for cost containment efforts as revealed in this white paper.
Read MoreANNOUNCING HCRM’S SOC 2 CERTIFICATION
HCRM is excited to announce our SOC 2 Certification. This certification reinforces Health Cost & Risk Management’s on-going commitment to the security, availability and privacy of the Health Risk Monitor platform
Read MoreHRM CONTINUES TO LEAD THE INDUSTRY IN CLINICAL PREDICTIVE MODELING ACCURACY
A comparison of Health Risk Monitor to a 2016 study by the Society of Actuaries compares claims-based tools for health risk assessment shows that HRM continues to lead the industry in clinical predictive modeling.
Read MoreHCRM’S PREDICTIVE MODELING, A CASE STUDY
This case study reveals results of an employer group utilizing HCRM‘s predictive modeling solution and accomplishing a 25% reduction in cost over three years. HCRM‘s Predictive Modeling Solution plays a key role in controlling medical cost and improving outcomes for health plan members.
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