Page 14 - Optim Orthopedics
P. 14
Infolock
Infolock
INFOLOCK STEPS
Step 01 Step 02 Step 03 Step 04 Step 05 Step 06 Step 07
Know your Determine what’s Assess how Identify sickest Identify care gaps Together with you, consider Measure and adjust,
population. driving trends. population accesses patients; determine that, when closed, your business objectives and as needed.
and uses healthcare how to design the could lead to fewer design a comprehensive plan
services. best program. emergency room involving both population-level
visits and inpatient and individual-level health
admissions. management solutions.
UTILIZATION TRENDS SUMMARY POPULATION RISK STRATIFICATION
Utilization Trends Summary
Zero Dollar Claimants Office Visits Emergency Room
17.3% 4,343 717 200
Members had $0 Office visits Preventive ER visits
in allowed claims /1000 /1000 /1000
24.7% norm 3,463 norm 558 norm 223 norm
These members should be looked at more closely for 25.4% higher than norm 28.4% higher than norm 10.3% lower than norm
potential care avoidance 2.6% below prior year 0.1% above prior year 9.8% above prior year
58 4.2 $4,728 1,524 111 87
Admissions Average Allowed Behavioral Health visits CT Scans MRIs
/1000 Day Stay /Day /1000 /1000 /1000
61 norm 4.0 norm $4,324 norm 417 norm 110 norm 67 norm
The high severity of conditions resulted in an average 265.4% higher than norm 0.1% higher than norm 29.9% higher than norm
allowed per admission charge of $20,023 which is 8.5% below prior year 4.8% above prior year 13.6% below prior year
15.3% above norm and 1.8% higher than prior year
Hospitalization Mental Health Advanced imaging
1
Source: Infolock Book of Business Benchmarks
Skilled experts use data collected from multiple, disparate sources and translate it Focusing on each risk category and driving strategies to help prevent Optim
into meaningful knowledge to achieve optimal results with the ability to measure Orthopedics’ members from moving into a higher stratification level is a key goal in
ongoing performance. managing costs.
Optim Orthopedics — Lockton Beneits Practice overview 14 Lockton Companies
Infolock
INFOLOCK STEPS
Step 01 Step 02 Step 03 Step 04 Step 05 Step 06 Step 07
Know your Determine what’s Assess how Identify sickest Identify care gaps Together with you, consider Measure and adjust,
population. driving trends. population accesses patients; determine that, when closed, your business objectives and as needed.
and uses healthcare how to design the could lead to fewer design a comprehensive plan
services. best program. emergency room involving both population-level
visits and inpatient and individual-level health
admissions. management solutions.
UTILIZATION TRENDS SUMMARY POPULATION RISK STRATIFICATION
Utilization Trends Summary
Zero Dollar Claimants Office Visits Emergency Room
17.3% 4,343 717 200
Members had $0 Office visits Preventive ER visits
in allowed claims /1000 /1000 /1000
24.7% norm 3,463 norm 558 norm 223 norm
These members should be looked at more closely for 25.4% higher than norm 28.4% higher than norm 10.3% lower than norm
potential care avoidance 2.6% below prior year 0.1% above prior year 9.8% above prior year
58 4.2 $4,728 1,524 111 87
Admissions Average Allowed Behavioral Health visits CT Scans MRIs
/1000 Day Stay /Day /1000 /1000 /1000
61 norm 4.0 norm $4,324 norm 417 norm 110 norm 67 norm
The high severity of conditions resulted in an average 265.4% higher than norm 0.1% higher than norm 29.9% higher than norm
allowed per admission charge of $20,023 which is 8.5% below prior year 4.8% above prior year 13.6% below prior year
15.3% above norm and 1.8% higher than prior year
Hospitalization Mental Health Advanced imaging
1
Source: Infolock Book of Business Benchmarks
Skilled experts use data collected from multiple, disparate sources and translate it Focusing on each risk category and driving strategies to help prevent Optim
into meaningful knowledge to achieve optimal results with the ability to measure Orthopedics’ members from moving into a higher stratification level is a key goal in
ongoing performance. managing costs.
Optim Orthopedics — Lockton Beneits Practice overview 14 Lockton Companies
