Our Solution

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.

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

As you see in the examples below, two doctors with the same specialty, practicing in the same city, have WILDLY different costs and outcomes. Compared to Dr. Z, Dr. A has a 70% lower cost, 90% fewer complications, and 50% fewer opioid prescriptions. There is a higher likelihood that Dr. Z will change the trajectory of your claim from simple to catastrophic.

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.

As an example:

MSK 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
Surgical Doctor Examining Xray Film Diagnose Patients Waist Bone.

Our Data Sources:

  • CMS 183 Million lives/year

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