Guidance that supports health and human services efforts to balance cost and quality improvements with fiscal constraints.
Truven Health delivers a combination of flexible and powerful analytics with embedded methods that enable
fast retrieval of data. Our consulting studies are independent of Medicaid Management Information System staff,
ensuring rigorous and impartial review of program performance.
Our consulting services, coupled with Truven Health information solutions, help government agencies make
sound decisions relative to the cost and quality of their healthcare programs. Our solutions deliver advanced
analysis in the following six areas:
Cost Containment - improve not only the quality and accessibility of your healthcare services, but also
their efficiency. In fact, Medicaid agencies that rely on our cost-containment analyses have saved hundreds of
millions of dollars.
Budgeting - Our information solutions enable you to provide solid projections of fiscal and program impact
to support your budget policy. Our staff can help develop customized cost driver analyses and "what if" scenarios,
easily modeling the effects of pharmaceutical, health services, and eligibility policy changes.
Managing Population Health - Truven Health custom solutions help you tailor interventions to improve your
beneficiaries' compliance and health outcomes. Our predictive modeling and episode-based clinical measures enable
agencies to more accurately measure, predict, and manage risk. Comparative standards and best-in-class
benchmarking help you identify and focus interventions to maximize your program results. Key consulting and analytics support for population health include
behavioral health and substance abuse disorders.
Plan and Provider Profiling - By monitoring practice patterns with risk- and severity-adjusted measures,
we can help you improve your performance. Truven Health has proven we can facilitate successful partnerships to
improve patient care that reduce overall costs.
Program Integrity - Truven Health delivers sophisticated program integrity and SUR solutions to help you
identify areas of potential fraud, abuse, or overpayment.
Quality Improvement - Our process for HEDIS audits, encounter data validation, and integration
of administrative data with survey and medical record data ensures that you can accurately assess quality and
appropriateness of care for your beneficiary population.
Our success in helping Medicaid agencies effectively manage their programs is in part
attributable to our unique experience in all facets of healthcare. In addition to our work with more than 25
states, we have long-term relationships with the Centers for Medicare and Medicaid Services, AHRQ, CDC, SAMSHA,
and other federal agencies.