Thomson Reuters information solutions help health plans develop a competitive cost and quality advantage. Our products organize healthcare information form diverse sources and systems to support enterprise-wide decision making.
Benefits
- Direct online access to custom analytic reports that explain changes in costs and utilization
- Consulting services offering knowledge and expertise in benefits planning
- Sophisticated information filters and dashboards to identify early warning signs of emerging trends
- Benefit plan models that help you develop customized options for your covered population
- New information-based programs, such as pay-for-performance and consumer-driven health plans, that enable employers to leverage quality providers and create greater accountability with consumers
- Program assessments that demonstrate the effectiveness of care management programs and provider networks
-
Advantage Suite - Health Plans
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.
-
Medical Episode Grouper - Health Plans
Medical Episode Grouper® (MEG) from Thomson Reuters enables health plans to analyze patient treatments, evaluate quality of care, and manage associated costs. Plans can incorporate MEG into their existing information system, or it can serve as an integrated component of Advantage Suite®.
-
Patient Profiling
Patient Profiling from Thomson Reuters integrates fragmented data into smart health records, enabling nurse case managers and medical analytic and services staff to focus on improving member health. This solution draws on the capabilities and power of Advantage Suite®.
-
Account Group Reporting
Account Group Reporting® offers health plans and third party administrators financial and clinical information to manage costs; improve quality; set pricing and account management strategies; and furnish reliable, accurate, timely information to key customers.
-
Physician Performance Assessment
Thomson Reuters Physician Performance Assessment delivers information for improving the cost efficiency and clinical effectiveness of physicians in easy-to-read report formats. This solution draws on the capabilities and power of Advantage Suite and the clinically robust Medical Episode Grouper (MEG).