Shortlister hosted Rebekah Lane, Head of Sales and Account Management and Bill Bramble, President of Health Cost & Risk Management (HCRM), to share more about driving clinical and financial analytics with artificial intelligence.
HCRM specializes in collecting and integrating medical data from a wide variety of sources to provide their clients a complete view of plan members’ health status, both now and in the future, by forecasting cost and clinical risk of each individual in the next year. This complete view, looking in the past and into the future, allows clients to identify high risk, future high-cost individuals and groups needing clinical attention, thus providing actionable insights.
Founded in 2004, HCRM provides the predictive modeling and claims analytics platform, Health Risk Monitor, delivering cost-saving visibility and actionable information that help health management vendors, health plans, TPAs, brokers, employers, providers and others reduce the cost and risk of healthcare. The HCRM system predicts the clinical events for each member and attaches a dollar value to those predictions, accurately predicting cost by clinical risk driver plus pharmacy costs, emergency room visits, days inpatient, tracks member compliance with HEDIS guidelines, and much more. Most importantly the system will track all members participating in a care management program to track outcomes.
The HCRM application is a significant driver of better health for its members. There is a variety of strategies that plans and vendors can use to address those:
HCRM provides cost transparency:
HCRM provides solutions that focus on addressing some of the healthcare industry’s most complex challenges with real time insights through an on-line application, Health Risk Monitor, providing a complete view of your population including employees, spouses, and dependents.
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|Shortlister Public Site
|Who can Access Shortlister?||Versions of the Shortlister app are available for employers and benefits consultants to access detailed information on service providers and issue RFPs.||Anyone can access the basic vendor data listed on the Shortlister public site, free of charge.|
|Do employer & consultant users pay to access Shortlister?||Yes – There is a monthly subscription fee||No – Shortlister's public site has tens of thousands of visitors per month that are researching vendors. They do not pay to access this basic vendor data.|
|Do service providers pay to be listed?||No – Service providers can enroll on the Shortlister app for free.||No – Service Providers do not pay to be listed on the Shortlister public site.|
|Can service providers pay to improve their position?||No – The Shortlister app's matching algorithm is completely neutral & unbiased. It matches employer & consultant users with service providers based on how closely the buyers requirements match the service provider's capabilities.||Yes – ONLY on Shortlister's public site. Service providers can bid to show up higher on listing pages. This is how Shortlister is compensated for the substantial effort it takes to curate this pages and vet vendor data.|
|What if a service provider doesn't pay Shortlister?||Nothing – Service providers don't pay a fee to participate on the Shortlister app and are matched based on how well their capabilities align with a buyer's demographics and needs.||Service providers will still be listed on the pages for the services they provide, they will just be listed below those that have bid to list higher on that particular product page.|
|What about the Top Vendor lists at the top of the product listing pages? Is there a fee to be listed?||Not Applicable – The Shortlister app doesn't display Top Vendor lists because the algorithm generates a custom list based on the customer's needs.||Yes - There is a nominal fee of $50 per quarter that's charged if a service provider is approved for a Top Vendor list. Shortlister evaluates vendor capabilities & market performance data to determine who should be listed. Evaluating this data takes considerable time and effort, so the nominal $50 fee covers the cost of the work it takes to curate these lists. If a vendor applies for a Top Vendor list but doesn’t meet the criteria, they are not charged a fee.|
|Who provides reviews of service providers?||Reviews on Shortlister's app are collected from employers and consultants. Service providers are also able to collect reviews from their customers, once they are validated by Shortlister. When a user is logged into the Shortlister app, they can clearly see the source of the review.||Public site reviews are an aggregation of employer, consultant and provider-collected reviews. There is no way for public site visitors to differentiate the source of the review.|
|Do service providers see information and reviews put in the site by your users?||Service providers cannot see the information put in by Shortlister's consultant and employer users.||Service providers can see information that was collected from their own clients.|