Health Cost & Risk Management LLC performs predictive modeling services for Third Party Administrators, Brokers, Provider Networks, Physician Groups and other clients using historical medical and pharmacy claims data. Utilizing the MEDai system, HCRM provides monthly predictions of clinical events and associated costs for each member in their database. For each person the system predicts medical costs, pharmacy costs, emergency room visits and inpatient days for the next 12 month period while also assessing compliance with national standards of care for 24 chronic diseases. The information is used for disease management, large case management and others to address the health care needs of the members. Extensive reporting is available for employer groups and providers to understand the health cost drivers at work and to take corrective action.

HCRM/MedAI Webinar: 

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