When federal agencies and programs move beneficiaries into managed care, they need timely, high-quality data to manage, monitor, and evaluate their managed care initiatives. Thomson Reuters can help federal agencies make the transition to managed care and put in place a strategy to monitor, evaluate, and improve the performance and outcomes of their managed care initiative.

Benefits
Thomson Reuters Managed Care helps federal agencies understand the value of managed care initiatives - and we can specifically advise you regarding:

  • Improving the cost effectiveness of budgeted federal dollars
  • Selecting qualified health plans to participate in long-term partnerships
  • Enhancing quality of care for your beneficiaries
  • Improving access to providers for your beneficiaries

For more information contact us at fedgov@thomsonreuters.com or +1 734.913.3000

Consulting Services

Thomson Reuters has the knowledge, the resources, and the consultative experience to help government agencies balance the cost and quality of healthcare within the constraints of the fiscal environment. Our experience with multiple federal agencies enables us to provide unique insights for addressing specific program needs. Our benchmarks help agencies better identify opportunities for program redesign and improvement, while our proven clinical and analytic methods ensure the information is reliable.

Medical Episode Grouper

The Medical Episode Grouper (MEG) enables government agencies to analyze patient treatments, evaluate quality of care, and manage associated costs. It does so by grouping inpatient, outpatient, and pharmaceutical claims into clinically homogeneous units of analysis called episodes that describe a patient's complete course of care for a single illness or condition. The result is a sophisticated methodology that is used for a wide range of applications such as provider profiling, disease management, quality improvement, and cost and use analysis. Agencies can incorporate MEG into their existing information system, or it can serve as an integrated component of Advantage Suite.

Advantage Suite

Integrates information from diverse sources and systems, organizes it to support decision making, and enables easy access to information in a flexible, customized application. Its powerful applications are linked to an integrated warehouse of medical and prescription claims, encounters, eligibility, lab results, authorizations, health risks assessments, and performance measures.