User Reference Guide - Cost & Utilization Reports

This section contains the User Reference Guide for Clinigence Analytics - Cost & Utilization Reports.

C & U Reports - Cost by Service Category
Comprehensive report of medical and pharmacy costs with segmentation by services which can be further sorted to represent a specific LOB, market segment and...
Thu, 27 Feb, 2020 at 11:30 AM
C & U Reports - Hospital - Hospital
The data presented identifies the top 20 disease (based on Admits/1000) representing the hospital stays, the rank of hospitals by critical metrics, an inter...
Thu, 27 Feb, 2020 at 11:30 AM
C & U Reports - Hospital - Service Line
The Hospital/Service Line report provides the important detail required to understand the service line cost and utilization.  Selecting from the comprehensi...
Thu, 27 Feb, 2020 at 11:29 AM
C & U Reports - Admissions
Detailed report of admissions which includes key metrics for evaluation, comparison, and trending.  Graphs offer quick reference points for users and presen...
Thu, 27 Feb, 2020 at 11:32 AM
C & U Reports - Emergency Room
The ER report provides both a snapshot and opportunity to gain in-depth information of cost and utilization by disease, diagnoses, PCPs, and members.  ER co...
Thu, 27 Feb, 2020 at 11:33 AM
C & U Reports - Radiology
This report provides detailed information regarding radiology cost and utilization with a header containing critical metrics for comparison and trending.  D...
Thu, 27 Feb, 2020 at 11:35 AM
C & U Reports - Condition Drivers of Cost
The report is a comprehensive view of the condition drivers of cost using PMPM, Total Paid, Paid/Claim, or Patients as the Key Performance Indicator.  Filt...
Thu, 27 Feb, 2020 at 1:04 PM
C & U Reports - Pharmacy KPIs
This report allows for displaying high level pharmacy data by Provider Specialty, Disease Category, Drug Class and Drug.  The header provides the reference ...
Thu, 27 Feb, 2020 at 1:06 PM
C & U Reports - Pharmacy - Prescriber
The report describes cost, prescription counts, and generic vs brand by provider specialty and provider group.   The drug class ranking and individual drug ...
Thu, 27 Feb, 2020 at 1:22 PM
C & U Reports - Pharmacy High Cost PCP / High Cost Member
Prescriptions are a significant cost driver for health plans and the ability to easily identify high cost PCPs and high cost members supports the strategies...
Fri, 28 Feb, 2020 at 2:32 PM