With the help of HealthEC's 3D Analytics and CareConnect modules, Kerda DeHaan and her colleagues at the D.C. Department of Health Care Finance are tackling granular data management issues to expand their collaboration with health plans and providers.
"We’ve been working with HealthEC, incorporating all of our Medicaid claims data into their platform. So we are creating endless reports. We track utilization, cost, we track on the managed health plan side the capitation payments we pay them versus MLR [medical loss ratio data]; our fraud and abuse team has been making great use of it. They’ve identified $8 million in costs from beneficiaries no longer in the District of Columbia, but who’ve remained on our rolls."