Controllable Costs Analysis
The Controllable Costs Analysis employs Ingenix episode grouping methodology to provide a clinically oriented view of the delivery of care for conditions with costs that may be controllable. The analysis links related medical and drug data presenting a comprehensive picture of the potential for savings across benefits.
- Critical information to help you:
- Improve health management
- Maximize client savings
- Reduce health care costs
- Increase accuracy in claims processing
- Align interventions with benefit strategy
Medical Claims Audit
In the course of health benefits management and administration, claim payment errors inevitably occur. Drawing on your existing data warehouse, Ingenix can provide a unique portfolio of Medical Claims Audit services that enable you to review your plans’ performance and identify financial inaccuracies with opportunities for recovery.
Prescription Drug Benefit Program
Ingenix can provide the information you need to manage escalating drug expenses by integrating prescription drug data from multiple plans, allowing for detailed reporting by customer-specified breakouts across multiple medical carriers. Our customized drug analysis makes identifying solutions easier.
