GWI-MBI
(information medical & business
intelligence) is an outsourcing solution
that leverages integrated utilization
& disease management systems and
the business intelligence expertise
of Government Works' health care utilization
and quality of care division, which
is well known for its extensive and
in-depth experience, knowledge, and
expertise in both health plan and provider
sides of the industry - this translates
to being able to consistently provide
financial and quality of care value
to every stakeholder in a health plan.
Government Works' expertise is exceeded
only by a passionate commitment towards
reducing healthcare costs while enhancing
quality of care, which clients have
stated what makes Government Works a
true partner as opposed to just a vendor.
GWI-MBI systematically
and synergistically leverages GWI-UM
(a comprehensive online utilization,
reporting and management analysis system)
and GWI-DM (an online disease based
management system) to help health plans
analyze the professional and financial
components of their plans and the corresponding
quality of care being provided. With
the aid of appropriate and timely intelligence,
iMBI
experts assist health plans to structure
proactive strategies that decrease medical
expenses by as much as 25 % while improving
the quality of care provided.
GWI-MBI's effectiveness
is predicated on the fact that higher
quality of care costs less and that
a progressive cycle of better quality
of care results in improved utilization.
Government works has consistently shown
that quality of care is an excellent
proxy for cost - an inverse relationship
exists between optimum health care expense
and quality of care regardless of plan
size and location.
Using precise utilization
and quality of care analyses, GWI-MBI
provides realistic answers to today's
challenge on how to positively impact
every stakeholder in healthcare - the
member, provider, employer, and the
health plan.
Government Works analyses
have shown that although it is easy
to assess real health care costs, cost
management is possible only by reducing
the magnitude of the cost variation
(about 60%) between physicians who are
above and below the average resource
utilization.
Government Works observations
have also consistently revealed that
65-70 % of primary care physicians are
both cost effective and offer high quality
care. Primary care physicians in this
tier usually have less than 30% of all
the catastrophic cases.
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