Announcing Release of Master Provider Index!

Another computer-aided managed care service from MedMetrics

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 services
            2) Medical performance analytics
            3) Online search
            4) Continuous updates

1.      Technical services

 

Data Import
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

 

Master Provider Index users simply go online to select medical specialty and geo-zip. Users pick from a list of specialties and enter three to five digits of a zip code. Entering fewer numbers of the zip code broadens the geographic search.

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.