The Woodland Hills, Calif.-based payer will use the vendor's medical management, provider network management and operations performance analytics applications. Medical areas that can be analyzed include emergency department coding and utilization, readmissions, one-day stays, length-of-stay efficiency, and types of therapies, among others.
The provider network application covers such areas as outcomes, practice patterns and identification of outliers. Operations performance covers efficiency of claims processing, denial rates and overturned appeal rates, among other issues.
More information is available at medeanalytics.com.
--Joseph Goedert
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