DrKnow™ is an integrated and correlated system with:

1. Clinical Documentation and Analysis
2. HEDIS measurements and reporting
3. Preventive Health Programs and Analysis
4. Disease Management and national protocols for delivery and continuity of care, including
   1. Diabetes
   2. Asthma
   3. CHF
5. Pharmacy documentation and prescriptions correlated with:
   1. Formulary
   2. Prior Authorization
   3. Decreasing order of cost
6. Billing includes:
   1. Identification of high-risk diagnoses and reporting for risk stratification
   2. Electronic submission to Health Plan
7. Ability to communicate electronically with
   1. DOH Immunization Registry
   2. DOH Communicable Disease Registry
      
      

Specific Benefits to the Health Plan:

1. Positive Change in physician behavior at the point of service
   
2. Improved HEDIS performance
3. Improved documentation of records and reports at the point of service, thereby eliminating claims lag
4. Semi-automated Clinical Records Review, thereby reducing the time Health Plan nurses are in the field
5. Improved quality of care to Health Plan Members, thereby reducing inappropriate utilization and cost
6. Reduced time spent in pharmacy prior-authorization
7. Reduced pharmacy cost at the point of service
8. Reduced cost in electronic billing by eliminating, for example, approximately $0.25 per line item paid to clearinghouses
9. Ability to document an increase in medical expenses (Capability to capture risk as defined by CMS)
10. Easy construction and implementation of Pay for Performance programs