Medicare Margin Management
| Managing Medicare reimbursement in the rear-view is a thing of the past. Net.Orange Medicare Margin Management enables stakeholders to win by improving quality measures, physician profiling, reducing re-admissions, mortality, and taking out unnecessary cost to all cases. |  |
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Manage physician partners to consistent and affordable standards of care
Identify patients with missing care or poor outcomes
Drill-down Dashboards
Pre-populated Dashboards allow stakeholders to quickly analyze all causes for net loss against a standard Medicare payment. This analysis provides drill down capabilities by service area, department, physician, diagnostic test, devices, and pharmaceuticals.
Intelligent Profiling
Defensible physician profiling includes peer to peer comparison based on specialty and risk stratification via Johns Hopkins ACG Grouper to accurately score patient risk based on all known co-morbidities. The illness burden is used to establish a fair and equitable comparison for profiling. Utilization is prospectively monitored to call out cases before cost are exacerbated.
Real-time
Synthesize real time HL7 clinical and ADT information with operational cost and financial outcomes to execute to your strategic goals while most of the competition is managing via the data latent 'rear-view mirror'.