Advanced Medical Strategies’ New PredictDx Provides Health Care Payors Unprecedented Web Access to Comprehensive Clinical and Financial Details of More Than 150 Catastrophic Diagnoses
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(Photo: http://photos.prnewswire.com/prnh/20140211/PH62273-a)
(Photo: http://photos.prnewswire.com/prnh/20140211/PH62273-b)
There is strong demand for more clinical and financial information in the health care industry. The Affordable Care Act has substantially increased the number of businesses that self-insure, and there is increased focus to ensure treatment is clinically and financially appropriate. Until PredictDx, many health care payors had to rely on the aggregation of incomplete data and educated guesswork in order to predict costs, leading to unnecessarily higher premiums and no standardized basis for identifying artificial inflation of provider pricing.
With PredictDx, underwriters, actuaries, claims professionals, brokers and consultants more accurately assess the real-world costs of a particular diagnosis. This keeps premiums in line with risks and reduces the cash reserves set aside to account for the unpredictability of medical costs. PredictDx equips underwriters, claims professionals and medical consultants with physician-reviewed information right on their desktop, reducing the time and expertise required to find comprehensive clinical information. The database further reduces costs by outlining accepted courses of treatment for claims reviewers, enabling them to more accurately identify claims for treatments that deviate from standard and accepted approaches to a diagnosis.
"As a nurse who has worked both in Underwriting and Claims areas for many years, I can honestly say that I haven't found a more useful tool," says
With its growing success, Advanced Medical Strategies plans to expand the scope of PredictDx. It currently covers more than 150 catastrophic diagnoses, including 95% of all cancers, but Advanced Medical Strategies continues to add and update information.
"PredictDx and PredictDx Premier are just the beginning of what the future will be for claims and underwriting professionals who utilize Advanced Medical Strategies' innovative suite of tools," says
View a video of PredictDx at http://www.mdstrat.com/ams-unveils-predictdx/
Contact:
7 Kimball Lane Building
Phone 781-224-9711
Fax 781-224-9713
Email
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SOURCE Advanced Medical Strategies
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