Issue link: https://www.e-digitaleditions.com/i/55648
CMCS Highlights What's 2 ahead for 2012– Quality and Innovation 012 will be an exciting year for CMCS. Our primary focus this year will be innovation and quality. CMCS has traditionally been recognized as providing quality services for our networks and pro- vider organizations. This year new programs will be introduced that will make our services second to none. Our 2012 initiatives will emphasize improved customer service, enhanced reporting and analytics, and provide easier access to information. Improved Customer Service Our goal is to provide prompt, accurate information on a consis- tent basis to all of our customers. Planned activities include: • engaging a motivational speaker experienced in customer service. • continuing our educational Lunch + Learn sessions for staff and our networks. • providing a series of staff workshops designed to present a fresh perspective on solving difficult problems. • offering new resources and tools for staff to excel in their job. Expanding Reporting and Analytic Services This year CMCS will invest in resources and additional staff to expand our reporting capabilities. Reporting and Analytics, a new department within CMCS, will utilize state-of-the-art software to: • provide predictive models for enhanced patient stratification Wanda works with Heather and Cherise from claims to provide additional training Did you know? largest employer benefits firm in Indiana. • In 2011, the Indianapolis Business Journal (IBJ) ranked CMCS as the 2nd • CMCS manages benefits and coordinates care for over 137,000 members throughout the State of Indiana. • Last year, CMCS processed over 1.4 million claims totaling over $250,000,000 in healthcare payments. • CMCS is not your typical benefits administrator. Our staff is comprised of clinicians, benefit administration experts, and IS health care professionals. Essential services include in-house care management services, quality manage- ment services, capitation and claims processing and reporting services. by health condition. • identify members susceptible to high risk conditions or predis- posed to high medical utilization and costs. • identify members who are motivated to improve their health status. • provide dashboard and key indicator reports. • report medical utilization trends and highlight potential gaps in care. • provide network and provider profiles on quality and perfor- mance measures. Access to Information CMCS plans to evaluate new ways to provide important health informa- tion to the right person at the right time. Our goal is to integrate our health information with our networks and providers to assist in patient care management. By exploring use of newer technology, we will: • present information in simpler and easier formats. • connect to provider offices in simpler, less intrusive ways. We have a lot on our agenda for 2012 and we look forward to keeping you "connected" on our progress. CMCS connections 3 first qu arter 2012