Pinpoint medically sound, financially effective interventions

Sightlines Medical Intelligence is a data analytics and reporting platform that supports clinical outreach and pinpoints opportunities for medically sound, financially effective interventions.

Its ease of use and robust report manager make it the preferred platform for physician groups, TPAs, care management organizations and the care management arm of health plans, including Medicare Advantage and Managed Medicaid plans.

Healthcare data analytics that clarify risk

This web-native, ASP solution enables healthcare organizations to leverage their data to identify, measure, manage and reduce financial and clinical risk – at both the population and individual level.

Sightlines Medical Intelligence uses data-mining algorithms along with easy-to-use query tools to give you a revelatory view of your healthcare landscape. Our processing engine utilizes evidence-based clinical rules to quickly identify high-risk, high-cost members, in order to support individual outreach or population-level interventions.

Features and benefits

Sightlines Medical Intelligence’s capabilities include:

  • Detection of high risk members or groups using proven predictive models and the Verisk Health Risk Index
  • Outcomes tracking through sophisticated cohort tools
  • Clinically sound quality and risk measures to pinpoint opportunities to improve care and reduce costs at both the individual and population levels
  • Executive dash-boarding and customizable employer reporting
  • Data importing and reporting tools to leverage HRA and other data to gain insight on total health and productivity measures
  • Tools to compare various health and pharmacy plan alternatives and visualize the financial impact of plan changes on future costs and coverage
  • HEDIS® performance and other quality measurement and reporting capabilities

Enhancement modules

Enhance the power of Sightlines Medical Intelligence with these add-on modules:

  • Population Analyzer
  • Report Manager
  • Data Warehouse
  • HRA Impact Report
  • HEDIS® Performance Measurement and Reporting

For additional information or to schedule a product demonstration, contact us.

Note: HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).