Insight Templates are built from Insight Models. An Insight Model is a collection of fields relevant to a specific set of data such as Enrollment, Medical or Member.
To access an Insight Model:
Go to the navigation bar > Insight > Insight Models.
There are 2 types of model fields: Dimensions and Measures.
The data represents de-identified, national medical and pharmacy claims data sourced from Truven Health Analytics for the years 2015 – 2016.
This model includes dimensions for state, demographics, plan funding status, and industry classification. There are over 100 financial, utilization, and enrollment measures.
Create a benchmark to compare with an organization's data. For example, you can answer the following questions:
This model contains biometric screening data such as Blood Glucose (mg/dL), Diastolic BP (mm Hg), Systolic Blood Pressure (mm Hg) and Total Cholesterol (mg/dL) to name a few. These measures can be reported at the member, group, plan, or organizational level.
Sourced from the client's Third Party Administrator (TPA), this model includes enrolled member demographic and detailed plan information.
This model contains aggregated medical, prescription, enrollment, and worker's compensation financial data.
This model integrates medical, prescription, enrollment, biometric, and workers' compensation data to provide a holistic view of a member.
The medical model provides a detailed view of the medical claim information submitted and processed by the TPA.
This model contains prescription drug claim information. The claim data received from the TPA is enhanced with Innovu Drug Indicators and other third party data sources such as AHFS, Medispan, and REDBOOK.
This model contains workers' compensation claim information sourced from the TPA.