CCGroup Marketbasket System™ Software

The CCGroup Marketbasket System™ product line is a cost-effective turnkey system, ready for immediate use with little additional programming. The CCGroup Marketbasket System™ is comprised of five (5) software modules that, together, produce all necessary ASCII tab-delimited database output files to support your top strategic initiatives for performance improvement:

Cave Grouper™

The Cave Grouper™ Software groups ICD.9 diagnosis codes into 527 meaningful medical conditions. The Cave Grouper™ is designed to measure the prevalence and cost of care of all medical conditions within a health plan membership. Derivatives of the Cave Grouper™ have been applied and validated using in a wide variety of study populations since 1990, and tested on over 86 million members and 684,000 physicians nationwide.

CCGroup EfficiencyCare™

CCGroup EfficiencyCare™ takes the output from the Cave Grouper and applies analytic modules to measure individual physician efficiency, or physician group efficiency, as compared to a specialty-specific peer group. CCGroup EfficiencyCare™ obtains greater than a 70% year-to-year stability in physician efficiency scores – much higher than most methods and systems in the market today.

CCGroup BullsEye™

CCGroup BullsEye™ takes the output from the Cave Grouper™ and CCGroup EfficiencyCare™ and uses statistical analyses to identify those procedures and services (CCGroup MedMarkers™) most associated with physician efficiency scores. MedMarkers also identify potential areas of significant procedure and service over-utilization, upcoding, and unbundling. Knowing these MedMarkers, the software identifies those physicians meeting established MedMarker criteria. On drill-down, you already know the MedMarker practice patterns per identified physician.

CCGroup EffectivenessCare™

The CCGroup EffectivenessCare™ Module takes the output from the Cave Grouper™ and develops patient gaps-in-care information as well as specialty-specific physician effectiveness (i.e., process of care quality) scores that compare individual physician effectiveness (or physician group effectiveness) against the effectiveness of a peer group of interest. There are presently 142 effectiveness metrics derived from these national expert resources: National Quality Forum (NQF), and Ambulatory Care Quality Alliance (AQA), NCQA/HEDIS, Physician Quality Reporting Initiative (PQRI), Agency for Health Research and Quality (AHRQ), and The RAND Corporation. All necessary open architecture output files are produced. Also, the standard Practitioner Effectiveness Reports allow you to understand what underlies a physician’s overall (and medical condition-specific) effectiveness scores.

CCGroup MediScreen™

CCGroup MediScreen™ takes the output from the Cave Grouper™ and develops accurate and reliable scores for predicting the chance of being a high-cost patient in the near future. The senior management of CCGroup has been involved in predictive modeling since 1986 when we published an article on predictive modeling in Medical Care (Cave et al).

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