EMPLOYER CLINICS

Clinics, on-site and near- site, often operate only knowing a small portion of a member’s health. HCRM gives providers a complete patient profile of all care being provided. Using HRM analytics, clinics can apply proactive interventions to enhance the health of plan members, focusing on chronic disease, gaps in care, drug compliance and behavior change to improve health and lower costs. Health Risk Monitor (HRM) provides accurate clinical predictions of each patient’s health and cost by integrating clinic EMR data with external medical and pharmacy claims. The system provides your clinicians with a complete view of a patient’s care over the past year, including all office visits, ER and Inpatient encounters, drugs dispensed, compliance with 128 clinical standards of care, and more. HRM patient information can be accessed through your EMR before patient visits, and the system can identify members who need assistance to encourage clinic utilization.

HRM doesn’t just look at high-cost members from the past year but identifies future high-cost members based on their current clinical condition. With this solution, you can identify appropriate interventions to improve the patient’s health and reduce your clients’ cost and clinical risks for next year.

Reporting Capabilities

  • Health Risk Monitor (HRM) provides accurate clinical predictions of each patient’s health and cost by integrating clinic EMR data with external medical and pharmacy claims.
  • The system provides your clinicians with a complete view of a patient’s care over the past year, including all office visits, ER and Inpatient encounters, drugs dispensed, compliance with 128 clinical standards of care, and more.
  • HRM patient information can be accessed through your EMR before patient visits, and the system can identify members needing assistance to encourage clinic utilization.
  • Quickly and accurately identify and stratify a group’s population into cohorts of interest. You have access to detailed information at the member level – from risk scores to gaps in care – and quickly locate all you need to know in a member’s profile.