Modus Clinical Intelligence MCI

A nationwide specialty doctors quality and cost data using our clinical lens

Example for Orthopedic Surgery

Modus software captures what actually happens to patients by answering two relevant questions for each doctor locally, regionally, or nationwide:

  • How aggressive, conservative, and expensive are they?

  • An industry first; we focus on the patients’ journey and outcomes by asking “Are patients better or worse off after surgery/procedure?”

Not all doctors practice equally. The best surgeons are those who think twice and cut once, so their patients are better, not worse off after surgery. Modus will help you find doctors that best serve the health of your employees and your bottom line.

Read the Report by the Validation Institute

How Do You Trust Your Specialty Doctor’s Motivation, Experience and Judgment?

  • 70% of specialty doctors surveyed believe that some doctors perform unnecessary procedures to profit from them.

  • Knowledge of doctors’ quality is based on subjective local data.

  • The choice of specialty doctor determines the patient’s quality and cost of care. Today this process is a gamble.

  • Payers are overwhelmed with vast data that keeps pointing to specialty doctors as the leading cost driver, what stats are meaningful?

  • Payers and patients lack experienced practicing doctors solving their SYSTEMIC CLINICAL CHALLENGES, so they revert to insurance or business analytical professionals who are trying to make sense of clinical data.

Other Doctors’ Ratings:

  • Are insurance or data companies trying to answer clinical questions

  • Use inconclusive predictions such as avoidable hospitalizations, surgeries, etc.

  • Conclusions are speculative unless they have a clinical expert to independently observe interactions between patients and doctors

How It Works

Take a One-Minute Tour

Our Interactive Tool:
Three Vital Metrics to Compare Doctors

Our software tool allows you to dig deeper into each doctor’s detailed metrics, comparing them to their peers in the same specialty and geography. Each metric also displays Numerator and Denominator use.

Benefits plan design, and network management: Display a badge for cost-sharing that is customizable for your population needs and geography. Filter by Plan Coverage, Modus Rating, Billing activity, and Distance.

Specialties We Cover

  1. Orthopedics
  2. Orthopedics Spine
  3. Neurosurgery
  4. Pain Management
  5. Hand Surgery
  6. Neurology
  7. Rheumatology
  8. Physical Medicine & Rehabilitation
  9. Podiatry
  10. Sports Medicine
  11. Chiropractic
  12. Cardiology
  13. Cardiology EP
  14. Interventional Cardiology
Surgical Doctor Examining Xray Film Diagnose Patients Waist Bone.

We can improve members outcomes, and satisfaction and help you better manage costs. Find out how we can help you.