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CONF I DENT I A L │ PAGE 9
Joplin Schools RFQ – Group Benefit Broker/Consultants
NavMD
CBIZ clients are given access to the priority forecasting tool, NavMD. NavMD Analytics is a predictive healthcare
analytics application delivering actionable insight for better decisions about managing the health of a given
population. Better decisions mean providing a higher quality of care at a lower cost with a focus on wellness. NavMD
Analytics consists of three main components as outlined on the following page.
NavMD injects intelligence into the equation with best of breed episodic groupings. Unlike other systems that simply
combine medical and pharmacy claims to give total costs, NavMD intelligently groups different types of claims and
associates them to underlying medical conditions exposing the source of claims related activity.
NavMD also provides standard of care measurements and best practice guidelines for chronic conditions to profile
risk at the total population level, single member level, or anywhere in between.
Standards of care also include age appropriate preventive measures such as mammograms, colonoscopies and
other preventative care procedures. The platform also uses the latest in classification methodologies to generate
metadata attributes such as AMA for CPT-4, HCPCS,
ICD-9 and ICD-10, FDA for NDC, CMS for Place of
Service and Provider Specialty codes, BETOS for
classifications of CPT-4s, and Symmetry ETG for a 3-tier
classification of NDCs for complete and up-to-date
viewpoints. These features allow our customers to see
the whole truth about the prevalence and cost of real
world chronic conditions impacting their populations,
and in turn, their bottom line.
Components of NavMD
1. Analytics & Reporting
2. “What If” Plan Modeling
3. Performance Tracking & Monitoring
This service is available at no additional cost and allows
the District to coalesce data regardless of carrier
history. Please refer to Exhibit H for NavMD Dashboard Samples.