Now you
can quick-search the best medical providers for Workers’ Comp by specialty and
geo-zip directly from the Internet anytime! Master Provider Index analyzes provider
performance based on data from multiple payers.
Why?
Because
poorly-performing medical providers are 100% predictive of high claim costs in
Workers’ Comp! Imagine the savings derived from simply getting injured workers to the best doctor from the start—or referring to the best medical specialist every time!
Not your basic “Angie’s List”
Master Provider Index is a simple look-up online. Just
select the specialty and geo-zip to display a list of the est medical doctors
and other providers in that location. It’s that easy to use.
However, in order for Master Provider Index to display only
the best medical providers, MedMetrics applies important technical
underpinnings and analytics. MedMetrics does the technical heavy lifting and
analytics so you can easily find the right doctors, those who are scored best based
on the data.
Master Provider Index includes three major
technical service components, all critical to the result:
1)
Technical services2) Medical performance analytics
3) Online search
4) Continuous updates
1.
Technical services
The only way to evaluate provider performance in Workers’ Comp is to scrutinize and analyze the data. MedMetrics imports data from participants’ bill review, claims adjudication, and pharmacy systems. MedMetrics supplies a list of data items needed and where they are typically found. Participants place the data elements in a file and transmit it to MedMetrics. Data mapping is not required.
Data integration
MedMetrics validates, integrates, and maps the data from participants’ systems. Claimant-identifiable data is not used and participants’ data is placed in their confidential, secure sector of MedMetrics data warehouse. For Master Provider Index, MedMetrics will query data from all participants to analyze provider performance.
Scrub and optimize provider records
Provider records in most data sets are incomplete and contain many duplicates. MedMetrics corrects this by scrubbing and optimizing the provider records and duplicates are merged. Only then can a provider record be added to the Master Provider Index.
Continuous updates
MedMetrics imports data updates quarterly and continually monitors and re-analyzes provider performance. Master Provider Index is refreshed regularly, never assuming provider performance is static.
2.
Analytic services
MedMetrics executes its proprietary algorithms to evaluate the broad-spectrum data and score provider performance, thereby identifying best performing providers. Provider scores are integrated across multiple participant data, thereby creating a robust critical mass of data from which provider scores are calculated.
Medical services in the US are part of a cottage industry, therefore, performance indicators are spread across payers. MedMetrics integrates the provider scores across participants to provide a more robust basis for analysis.
3.
Online search tool
Best practice providers are listed instantly on the screen. Providers include individuals, clinics, and facilities.
Easy, yet powerful
How easy it is for
claims adjustors, medical case managers, plant or store managers, and others to
quickly find the right provider for the situation. Provider location and
contact information is displayed instantly. Licensed participants have
unlimited access to Master Provider Index for all persons they authorize. Master
Provider Index is always on, instant, and available from anywhere.
Contact karenwolfe@medmetrics.org
now to become a participant and receive special pricing for Master Provider Index available only until the end
of 2012.
Learn about MedMetrics'
other computer-aided power apps that recharge managed care in Workers’ Compensation.
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