Our Analytics Suite

Prospective & Retrospective HCC
Magenta produces a rapid, detailed analysis from historical claims data that identifies missing HCCs by members including RAF impact. Output is returned in digital format of customer’s choosing or Magenta’s web-based dashboard.
HCC & Diagnosis Deletes
Magenta's analysis is fine-tuned to identify members with incorrectly assigned HCCs, members at a higher acuity rate than likely appropriate, and members that are under-treated and need more clinical support for their conditions.
Member Segmentation & Prioritization
Member engagement patterns are surfaced to enable review targeting based on actionability. Organization specific rules can be incorporated to tag suspect members and conditions for specific workflow processes.
Coder & Clinician
Productivity Tools

Magenta’s dashboard provides 10x productivity improvements for coders and clinicians by connecting the HCC suspect list to the relevant clinical documentation for rapid validation.

Benefits

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Full Population
Scan

By starting with claims data, our process looks at all members of the population simultaneously. This instantly gives you a holistic view of your patient population.
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Acceleration of Clinician Validation
Clinicians are provided with the specific member, encounter, and clinical documentation to address the suspected care gaps.
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Missing HCCs
Identified

50,000+ rules including local market pattern practices and SDOH factors are used to evaluate members’ existing HCCs and identify care gaps.
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Complete Care
Gap Closure

Magenta confirms that gaps were closed by monthly automated data review with open gaps tracked and reported. Reimbursement for closed gaps is tracked and validated.
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Transparency Behind Logic
Each potential finding for 
a given member can be viewed on a timeline showing all member claim events with underlying reasons highlighted for direct access to data and relevant clinical documentation.
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