Driving payer transformation in the changing healthcare landscape.
Healthcare reform is forcing payers to meet new standards of performance. To reach these performance goals, payers have access to many sources of internal and external data. But data alone does not translate to actionable insights that identify cost drivers and opportunities for improvement.
IMS Health is helping payers integrate, manage and analyze a broad array of information to create an actionable view of plan performance. We offer the largest independent source of health plan claims and prescription data and deep expertise in healthcare informatics to deliver the insights necessary to transform your business.
We also offer engagement solutions to share this data with members, providers and stakeholders within your business:
Member Engagement: giving members accurate, personalized, and meaningful cost and quality information to guide better healthcare purchase decisions
Provider Performance Management: managing provider engagement and performance with actionable quality and cost performance analytics that support any care delivery or reimbursement model
Pharmacy Performance Management: assessing the efficiency and effectiveness of pharmacy management operations both internally and against national benchmarks
Plan Performance Management: monitoring, evaluating and comparing plan performance based on efficiency, quality and cost performance
Payment Innovation: aligning performance incentives to drive provider and plan improvement
- A library of clinical quality and cost analytics that can be used for a wide variety of transparency, member profiling, and provider performance needs
- IMS LifeLink database: claims data from 100+ health plans with 70 million lives
- IMS prescription data reflecting 80% of total U.S. retail and mail prescription activity, linked to provider affiliations
- Healthcare reference assets covering more than 4.4 million professionals, with 500,000 organizational linkages
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