Can analytics empower us to make better decisions?

The right data can help plan sponsors identify gaps, manage quality and costs, and become more competitive.

HOW WE HELP

MedImpact’s Quality Performance Management Program (QPMP) delivers information – at both the group and member level – about adherence, gaps in care, and safety issues to help plans increase CMS star ratings and bonus payments, and improve member outcomes and plan competitiveness.

45

Pharmacy-based standards used by MedImpact to measure quality
21 %

Reduction in PMPM costs realized for one of MedImpact’s large hospital system clients
20 %

Decrease in member copays from 2017-2018 for a large hospital system

OUR RESULTS

This is where we come in.

QPMP uses advanced technologies, including artificial intelligence and predictive analytics, and draws on dozens of quality measures endorsed by the nation’s leading healthcare standard setting organizations. The information is delivered in easy-to-understand dashboards that highlight areas that need immediate action, as well as opportunities for long term improvement.

Analytics.

MedImpact’s Quality Performance Management Program (QPMP) delivers information from the population to the member level about adherence, treatment gaps and safety issues to help improve outcomes, CMS Star Ratings, and drug and medical spend.

Utilization Management.

Our NCQA-accredited UM program ensures members receive the services and prescription drugs they need for better health, while preventing the risks and costs associated with over-utilizing resources.

Clinical outcomes.

We provide clinical expertise, national strategy, local customization, and personalized engagement programs to help improve member health.

ON A MISSION

Connected care.

Every year, we invest hundreds of millions of dollars in technology, people, and solutions to make healthcare benefits more connected, personal, and affordable.