Tools to Manage Your Population

Whether you are a plan sponsor or a provider system data member, the Maine Health Management Coalition has the right tools to help you manage your costs and improve the quality of care.

for providers    

High Risk Patient Identification

Out-of-Network Utilization Analysis

Quality Gap Reporting

Care Coordination

Performance Tracking for Risk Contracts

for plan sponsors

Benchmark Reporting

Cost Driver Analysis

Savings Opportunities

Data At Your Fingertips

For Providers:

  • High-Risk Patient Identification – identify high-risk and high-cost patients attributed or enrolled to your system
  • Out-of-Network Utilization Analysis – determine what services are being delivered outside of your system for an at-risk population
  • Quality Gap Reporting – identify patients with quality gaps to improve HEDIS scores
  • Care Coordination – use the online DART reporting tool to view services delivered to your patients across all provider systems; avoid duplication and coordinate care with other treating providers
  • Performance Tracking for Risk Contracts – monitor PMPM spend and utilization patterns for populations in risk-based contracts

For Plan Sponsors

  • Benchmark Reporting – see how per member cost for your plan differs from other Maine-based employers
  • Cost Driver Analysis – determine whether price, utilization, or clinical factors are driving spend within your population
  • Savings Opportunities – drill down to specific savings strategies across inpatient, outpatient, professional, and pharmacy services
  • Data at Your Fingertips – use the DART online reporting tool for instant access to your data

For more information, email data@mehmc.org