reporting
Information - accurate information - is a driving force behind the success of a managed Medicare and Medicaid plan. TMG Health has designed a Critical Performance Report to provide all executives and management with timely updates of critical information on the status of their plan or risk contract. Presented in an easy to understand graphic format, our program allows you to look at high level enterprise data and drill down by provider groups, geography and diagnoses.

TMG Health's Medical Utilization Reporting delivers reliable, credible, and action-oriented information that shows the link between medical need, clinical practices, outcomes and financial performance. In addition, it identifies health care services that lack clinical justification. The reporting combines Clinical and Financial reporting capabilities to allow consistent diagnosis & treatment decision-making. Measuring quality from both process and outcome perspectives, the reporting allows users to identify clinical drivers of cost and utilization.

Our reports include:

  • Medical Utilization
  • Enrollment Statistics
  • Member Service Performance
  • Claims Performance
  • Provider Profiling
  • HEDIS Reports
  • Member/Provider Satisfaction Reports
  • Customized Reports
  • Financial Management Reports

With this vital information, your management will be able to compare its performance to other plans, using established standards. Finally, health care operational and performance information can be in your hands in a timely manner and easy to understand format.