Cost Drivers and Trends
Due to changes in the regulatory landscape, consumer expectations, provider networks, and reimbursement models, health plans are shifting to models that ensure appropriate clinical services are accessed at the right time. Thomson Reuters Action Suite allows you to measure the appropriateness and timing of treatment from various angles: compliance with evidence-based guidelines, true peer comparisons, and care rates that include professional, facility, pre-admit, and post-discharge costs. Understanding trends early is key to keeping costs at bay.
BENEFITS
| • | Provide financial perspectives and insights into why medical costs are increasing |
| • | Understand the financial impact of a changing disease burden |
| • | Analyze utilization rates, unit costs, and per member per month reports |
| • | Identify clinically related readmissions |
| • | Understand emergency room use by patient, facility, PCP, and disease |
FEATURES
| • | Pharmacy costs and utilization reports |
| • | High-cost patient distributions |
| • | Commercial group reporting |
| • | Drill-down capabilities |
Download the Cost Driver Brochure (PDF)
True drill downs allow you to gather more information about each scenario within seconds.
This report is showing brand name drug cost by employer. Again you can drill down on one employer to find out more information about how the cost is being split up.