DESCRIPTION OF SERVICES

Codman Group, a medical management company, develops and markets software, consulting, and information solutions that enable its customers to improve medical costs and quality. Its products and services achieve this through rigorous analysis and interpretation of health care data, providing information for action.

Codman software and services help health care organizations guide their medical management initiatives, reduce costs, improve quality indicators, and manage their networks. We use best-of-breed tools, such as ACG, DCG, and ETG groupers, along with our proprietary classification methodology, to extract meaningful indicators of plan and provider performance from readily available administrative data.

Codman's products and services yield insights and understandings to support the evolving next generation of care management organizations. We offer a wide spectrum of consulting services to share the experience we have accumulated over the years to help you use your data to define interventions and to address specific areas of concern.

MULTIPLE SOLUTIONS FROM A SINGLE SOFTWARE SYSTEM

• Disease Management Monitoring
• HEDIS Performance Monitoring and Improvement
• Morbidity-Adjusted Provider Profiling
• Fraud, Waste, and Abuse Detection
• Best-Practice Benchmarking
• Pharmaceutical Cost and Therapeutics Management
• Identify At-Risk Patient Populations
• Risk-Contracting Modeling and Evaluation
• Network Management and Optimization
• Product Benefit Design

Codman's customers include over 40 commercial and government health care payers, including 12 Blue Cross Blue Shield organizations and 7 State Medicaid Programs.

Visit our web site at www.codman.com, contact us for more information at info@codman.com, or call Toll-Free at 1-800-814-4163.

Back