• Access current member/patient cost and utilization metrics by condition
  • Determine gaps in care based on Commercial CQM criteria
  • Review predictive indicators of future costs and use of services
  • Drill into costs by provider, place of service, type/specialty, diagnoses, procedure and hospital revenue code
  • Identify top prescribers for each member/patient, including top drug and drug classes by cost, generic vs. brand
  • *Enter Jons Hopkins model?