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Utilization Management
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Information Reporting
 
We believe information is critical. Our new leading edge business information system is a significant technological advantage. Benefit plan utilization information is critical and our reporting tools are the best. This enterprise-wide data warehouse and decision support system provides an intuitive, on-line, analytical tool that quickly produces critical business knowledge. Further, it puts this information in the hands of the people who need it. It operates in an Oracle data warehouse using Cognos analytical tools.

A comprehensive set of reports designed with input from medical directors, physicians, nurses, managed care experts, financial officers, benefit specialists, and plan sponsors has been developed for the warehouse. Additional ad-hoc reports can be written as needed. With a few clicks of the mouse, we can drill down and filter through information to find mission-critical financial and clinical answers needed to best manage your plan. This information system provides for superior analysis of trends and plan design changes. It will also help in evaluating disease management intervention strategies that could enhance the health of plan participants while saving the plan benefit dollars.