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"Momentum."
Blue's Model May Breathe New Life Into Global Cap
Capitation Rates & Data
- Blue Cross Blue Shield of Massachusetts (BCBSMA) plans to stop paying certain doctors and hospitals in its statewide network for each patient visit or treatment and return to capitation. The insurer plans to use the risk adjustment model developed by DxCG, a division of Urix, Inc., to set global capitation rates.
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Use Combined Drug and Diagnostic Data to Improve Cost Forecasts
Capitation Rates & Data
- Research findings from a DxCG study published in Medical Care proves combined drug and diagnostic data improves cost forecasts better than any other data. In addition, the use of newer data also improves forecasts significantly. Find out the significant details of this study.
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A Crystal Ball for Financial Management Decisions
Executive Insights
- Predictive models help address the questions financial and clinical managers have been plagued with for years. DxCG President discusses how predictive models are the new crystal ball.
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Health Data Management
- Capital Health Plan explains how they are using predictive modeling software to analyze treatment costs.
Technology Transforms Data Into Useful Information
Capitation Management Report
- Provider groups and health plans use predicitive modeling software to get accurate estimates of capitated expenses and explain resource use for physician profiling.
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Applying Diagnosis-based Models to Underwriting
Society of Actuaries
- There is significant data supplied in medical claims that can improve the match of premium to expected medical expense, improve group retention and ultimately improve long-term financial results.
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American Re HealthCare
- Current risk stratification practices are heavily dependent upon individual case review. With a combination of techniques, American Re HealthCare has successfully added predictive power to these existing practices.
Medicare Reform: Help for Sicker Patients
Revenue Cycle Strategist
- DxCG President discusses how the Medicare Modernization Act and its wide use of DCG models will provide more options for Medicare beneficiaries
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- Pitney Bowes Medical Director describes their innovative use of DxCG predictive models to control costs “real time.”