Ever wonder how good your HCC Management program compares to your peer group? Would you like to quickly rate the quality of your retrospective program? Or perhaps you want to determine the quality of your RAPS submission process by comparing your claims data to RAPS files? Do you know how many members you need to reach a target premium level for either a Retrospective or a Prospective program?
ROA Product Brief
We can do this and more with the Leprechaun Rapid Opportunity Assessment (ROA). As a leader in the HCC Management industry, Leprechaun has combined its expertise in predictive modeling with over ten different analysis reports that dissect your HCC Management data in several different combinations to answer the questions you need to maximize the financial performance of your HCC Management program.
Customers have found the Leprechaun Retrospective service to incur better yield and/or accuracy results than their current solution. They are also augmenting their retrospective program with the Leprechaun Prospective solution to maximize their HCC Management performance. With the expected decrease in MA reimbursements anticipated for 2010 and beyond, many MAOs are leveraging both Retrospective and Prospective programs by Leprechaun to fill revenue gaps that will occur. With the ROA, it's easy for you to evaluate your HCC Management program and perform a side-by-side comparison between your existing programs, industry norms and Leprechaun services.
A Rapid Opportunity Assessment can help you:
- Pinpoint trends and causes which are effecting your RAF scores
- Quantify the effectiveness of your retrospective program in terms of premium dollars that can still be found from your charts
- Determine the potential effect on your premiums resulting from RAPS submission from excluded sources
- Analyze the quality of your RAPS submission process against industry norms
- Determine the projected yield for a Retrospective program using Leprechaun's industry leading selection algorithm that uses four rule categories with a total of 31,900 triggers. The analysis stratifies members into multiple yield groups, allowing you to intelligently choose between the amount of evaluated members versus the expected premium dollars
- Determine the projected yield for a Prospective program using Leprechaun's proven proprietary member selection algorithm. The analysis stratifies members into multiple hierarchical yield groups, allowing you to easily choose between the amount of evaluated members versus the expected premium dollars
For more information or to schedule a demonstration, please contact us.
