MMS Claims Hindsight
Share your historical medical claims with us, and we’ll push them through our proprietary claims data engine to uncover precisely how much savings
potential lies buried in your annual healthcare spend.
- Leverage our line-by-line claims analysis, cross-referencing your actual experience against the largest, most complete commercial claims database in the country.
- Reveal every one of your employees’ missed opportunities for savings—those that could have been realized if your employees had chosen lower-cost options for their care.
- Establish the baseline savings potential to target in your cost containment strategy.
MMS Claims Hindsight Report
Prepared for WeWanna Save, LLC (458 EEs)
|Last Month||3 Months||6 Months||12 Months|
|Raw # of Claim Lines||1,860||6,186||19,596||32,760|
|# of Claim Lines Analyzed||1,710||5,862||18,780||30,624|
|Raw Total Claims Amount||$186,425||$817,263||$2,679,724||$5,297,281|
|Total Claims Amount Analyzed||$169,624||$733,261||$2,501,165||$4,926,301|
|Total "Shoppable" Claims Amount||$146,222||$588,966||$2,180,821||$4,165,206|
|Total Savings Potential||$110,045||$330,065||$1,215,063||$2,307,244|
We have completed our preliminary analysis for ABC Company for the 2018 calendar year, and we believe that there is potential to drive consumer behavior and realize significant savings. Of the $5,297,281 in raw total claims included in the group’s file, we assessed that $4,165,206 of it could have been shopped by the patients and their care could have been received at lower cost.
We estimate that WeWanna Save, LLC has a total annual savings potential of $2,307,244, which could be realized with the proper tools and incentives in place to drive its employees to shop for their medical care. This savings potential represents roughly 44% of the total annual medical claims for the group.