McKesson's predictive modeling solutions help payors across the risk management continuum, allowing them to forecast those members who have not yet exhibited obvious signs of health problems but who may become high cost or high risk in the future. These members can then become the target of specialized programs.

Further, McKesson's solutions help payors look at the risks associated with their member populations as a whole—information that becomes essential for communicating and working effectively with employer groups, physicians and others.

McKesson's predictive modeling solutions provide the following benefits:

A consistent way to identify and stratify members who will benefit from case and disease management interventions
Cost savings through early care interventions, before conditions worsen
The ability to determine where treatment breakdowns occur and focus resources where they are likely to have the greatest impact
Access to important information for setting rates, underwriting, projecting future liability, managing provider networks, budgeting, designing benefit packages and conducting other planning activities
Greater staff satisfaction because care managers have more detailed historical member information and tangible action items at the start of the clinical assessment process

CareEnhance Clinical Management Software (CCMS)

CareEnhance Disease Monitor
Disease Monitor uses payors' medical and pharmacy claims to identify and monitor chronic diseases early, when interventions can be most beneficial.

CareEnhance Resource Management Software (CRMS)

CareEnhance Financial Profiler
Financial Profiler provides a global view of cost and utilization performance, so payors can quickly pinpoint areas that need attention.

Products & Services

Predictive Modeling

CareEnhance Clinical Management Software (CCMS)

CareEnhance Resource Management Software (CRMS)

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