We invest heavily in developing proprietary tools, databases, and methods.
RTS: Through RTS, a special unit of McKinsey, we deliver a proven approach for transformational change to clients seeking radical, rapid, and sustainable performance improvement.
Payment-integrity artificial intelligence: Our payment-integrity solution uses proprietary analytics to enable deeper discovery of fraud, waste, and abuse.
Fraud, waste, and abuse concept library: Our library of thousands of automated payment integrity and medical management initiatives identifies immediate business value while reflecting proven implementation methods.
AI-based clinical decision support: Raise care quality and consistency and reduce lead times in your case management, care management, prior authorization, and appeals and grievances processes with our clinically-trained algorithms.
Clinical-concept benchmarking: We identify opportunity hot spots through a benchmarking solution built on our proprietary grouping methodology and designed to maximize clinical understanding and fit.
Policy benchmarking: Our policy-benchmarking solution compares variations between an organization’s policies and those of its peers to identify opportunities for collaboration to drive improved clinical outcomes for patients.
