-
Font
-
-
Search keyword: payers solutions
Payers
Improve your health plan performance with actionable information
Meet reporting requirements, control costs and improve the overall health of your members with instantaneous intelligence from TransUnion Healthcare. With our rich understanding of data, we have created a set of standard tools to meet your information needs.
Our solutions leverage medical transaction data, patented analytics and risk scoring.
- Better manage encounters and claims-related data
- Improve the accuracy and efficiency of your reporting, including:
- Performance and utilization, including HEDIS and Pay for Performance
- Comparative reporting, including trend analysis and benchmarking
- Care gap reporting for disease management
|
Encounter Data Management
More accurately assess the performance of your contracted physician groups with scrubbed, aggregated encounter data.
|
Performance Analytics
Leverage TransUnion Healthcare web-based analytical tools and reports to compare and analyze the performance of your provider network, and track utilization patterns and costs.
|
|
HEDIS and Quality Reporting
Meet HEDIS criteria with complete reporting and management services, including an NCQA certified application.
|
Pay for Performance Reporting
Install performance-based reimbursement programs with HEDIS-like performance reporting.
|
|
Payer Data Hosting Services
Establish electronic EDI communication with your providers to deliver real-time insurance eligibility verification and other transaction sets.
|
