Thomson Healthcare works with health plans to surface risk – the underlying drivers of cost and quality outcomes, patient and physician resource use, and chronic conditions.

Consumer Decision Support

Thomson Healthcare helps you help your members become more effective healthcare consumers by providing information they need to make informed healthcare decisions.

Network Evaluation and Design

Thomson Healthcare helps health plans build productive, service-driven networks by reviewing individual physician practices to determine variations in cost, resource use, care processes, and clinical outcomes resulting from treatment patterns.

Medical and Pharmacy Cost Control

Thomson Healthcare helps health plans monitor and contain high-cost service usage such as excess hospitalization, pharmaceutical overuse, physician resource consumption, and patient complications.

Disease Management ROI

Thomson Healthcare helps health plans develop and deliver effective disease management programs by identifying patients best suited for disease management efforts, highlighting clinical interventions that will strengthen management of the targeted population. We also evaluate disease management program effectiveness.

Clinical Quality Improvement

Thomson Healthcare helps health plans uncover clinical performance gaps, establish quality improvement goals, and routinely measure post-intervention progress.

Financial Risk Management

Thomson Healthcare helps health plans track, measure, and forecast member healthcare costs by analyzing historical payment experience and claim period completion factors, forecasting expenses, and modeling financial impact of benefit design changes.

Customer Retention and Growth

Thomson Healthcare helps health plans assess the dynamic market factors that influence product and service demand and pinpoint the best growth opportunities.