Decision Master

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Decision Master Warehouse

• A New Dimension in Claims Analysis

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What is Decision Master Warehouse?

• Decision Master Warehouse (DMW) is a
  state-of-the-art, analytical health claims
  decision support system that lets Commercial
  Insurance help you
• Illuminate potential cost or utilization problems
• Isolate the underlying causes of those problems
• Determine money saving solutions aligned with
  your business goals!

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How Can Commercial Insurance uses DMW to Manage
Your Health Plan?

• Benchmark your health plan data against national
  norms of similar employers using Medstats
  Marketscan dataset
• Uncover the root causes of rising medical costs
• Offer plan design modeling tools, or what if
  analyses that help you determine the
  effectiveness and magnitude of plan design
  changes
• Provide complex information in an easy-to-use and
  easy-to-understand manner
• Help you make better decisions faster!

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DMW Home Page
The DMW homepage is where the analysis
begins. Notice the menu options across the
toolbar
Better Brokers, Incorporated

• Discussion Points
• Management Report
• Drill-Down
• Alternative Modeling

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Discussion Points
The Discussion Points section highlights key
areas where the plan varies from the norms and
contains recommendations for each area.
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Management Report
The Management Reports section produces a custom
executive summary that can summarize data in over
70 different exhibits!
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Advanced Management Reports
Building a customized Management Report is as
easy as clicking on the exhibit pages you would
like to include!
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Management Report Exhibits

• Total Health Plan Costs
• Claims by Age
• Claims by Relationship
• Claims by Network/PPO Affiliation
• Inpatient and Outpatient Claims
• Claims by Place of Service
• High Cost Claimants
• Claimant Distribution
• Top Hospitals
• Top Doctors and Clinics
• Inpatient Hospital Usage and Cost
• Inpatient Days/1000 and Payment/Day
• Maternity Usage and Cost

• Top Inpatient Surgery Procedures
• Top Outpatient Surgery Procedures
• Emergency Room Utilization and Cost
• Office Visit Utilization and Cost
• Chiropractic Utilization and Cost
• Inpatient Mental Health Utilization and Cost
• Outpatient Mental Health Utilization and Cost
• Claims by Major Diagnostic Categories
• Lifestyle-Related Claims
• Disease Management and Intervention Opportunities
• And many more!

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Management Report Norms

• Compares your health plan costs and utilization
  to normative data
• Utilizes Medstats Marketscan database which
  includes over 5 million lives
• Norms are adjusted by age, gender, region, and
  industry to match your population
• Identifies cost or utilization concerns for your
  plan

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Drill-Down
Drill-Down is organized into major categories, or
cubes, such as Inpatient Hospital, Office Visits
and Outpatient Mental Health. These cubes allow
you to locate the root causes of your cost or
utilization concerns.
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Drill-Down
Each cube contains a number of pre-built
drill-down exhibits that are just one click
away! If the pre-built exhibits do not suit your
needs, not to worry! You can create advanced
cubes that let you choose which data elements, or
categories, you want to drill into.
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Drill-Down
The Drill-Down screen features drag-and-drop
report building. Its the easiest custom report
writer available to get at your detailed claims
information. And, charts can be created on the
fly, exported into Excel, or saved offline!
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Alternative Modeling
The Alternative Modeling screen shows your
current plan design along with any number of
alternative designs to compare it against. This
provides both the plan savings and the members
affected, addressing both the financial and HR
impact.
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Alternative Modeling
Any combination of over 84 input variables can be
used to model your plan ? everything from
calendar year deductibles and coinsurance, to
office visit copays and maximum ER visits!
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Alternative Modeling
The comparison screen shows how your current plan
design stacks up against your alternative plan.
DMW displays both the financial impact and the HR
impact. How much money will be saved? How many
members will be affected? DMW lets you know!
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Questions
Any questions?