Medical Management Analytics


McKesson Analytics Advisor™

As a payer, you face more pressure than ever to reduce costs and improve quality. Challenges include meeting new requirements for coverage and medical loss ratios while grappling with new delivery and payment models that require a greater level of alignment in clinical and financial risk-sharing between payers and providers. As a result, finding new ways to collaborate and coordinate care with providers to achieve high-quality results with limited resources is more critical than ever. Succeeding today demands sophisticated tools that:

  • Pinpoint areas for cost and quality improvement
  • Engage providers with targeted approaches for closing gaps in care
  • Provide insights to improve healthcare efficiency and effectiveness

McKesson Analytics Advisor™ is a Web-hosted solution designed with these critical tasks in mind. A powerful data mining tool, Analytics Advisor puts actionable business intelligence at your fingertips, helping you partner with providers in delivering high-quality care at lower costs. Analytics Advisor provides a breadth of insight into your members' healthcare through four decision-making elements:

  • Quality analysis – Delivers quality measures and tools to improve performance
  • Physician profiling – Informs on approaches to incenting providers
  • Pay-for-performance adjudication – Drives pay-for-performance programs
  • Pharmacy analysis – Identifies more cost-effective prescription drug regimens

Together, these elements optimize your provider networks for health reform-driven initiatives such as limited or tiered network planning and management, ACO or PCMH support, quality improvement and episodic care measurement.

In addition, an optional NCQA-certified HEDIS® reporting and workflow tool is slated to be released at a future date.1

With Analytics Advisor, you can quickly pinpoint:

  • Efficiency metrics for your network physicians so you can see, on demand, whose practices are most and least efficient, as well as everyone in-between
  • Which physicians consistently practice evidence-based medicine - and which do not
  • Members or populations at high-risk for costly diseases within a practice, network, product or region
  • Which members experience gaps in care and which providers are responsible for managing their care
  • Exactly where you are over-spending in pharmacy cost, how to correct it and savings generated by your intervention
  • Which members frequently visit emergency rooms and why

Analytics Advisor goes beyond providing insights: It provides you with smart tools to take action. For example:

  • Automatic letter generation to members and providers, based on quality improvement or pharmacy savings opportunities
  • Pay-for-performance adjudicator that reconciles incentive payment calculations with specific quality, utilization and financial metrics, as well as models "what if" scenarios

Analytics Advisor makes it all available anywhere with a secure Internet connection, providing answers to your urgent questions about cost, utilization, network management, quality and more.

Benefits

  • Improves quality of care
  • Reduces medical and administrative spend
  • Increases in-network activity
  • Builds collaboration between payers and providers
  • Helps members get well care and preventive screenings on time

1Any descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality. Timing and availability remain at McKesson’s discretion, are subject to change and are subject to applicable regulatory approvals.

Do you want to know more about McKesson Analytics Advisor? Call us at 800.782.1334 or request more information.