ICM Implementation
100% ____ in OCM by YE 2024 is the ICM program MBO.
VOLUME ! (ICM in-scope)
UMM business case value realization is heavily driven by how much ____ is in OCM.
VOLUME !
____ million members are supported by the ICM team.
42.8M members
ToC implementation set to deploy in November with go live with ___ nurses.
What is 4 nurses?
____ was the first music video played on the newly-launched music TV network, MTV.
What is "Video Killed the Radio Star” by The Buggles
As of June 2024, there are 1,367 ____ in OCM for ICM.
Users
The PA implementation will begin on ____.
November 1, 2025
Average ICM RN reviews/day were ____ for Feb-23 to Feb-24.
26.2 reviews/day
ToC (E&I FI) has the potential to touch approximately ____ lives.
What is 8000 lives
This haircut from the TV show Friends was all the rage in 1996.
What is "The Rachel"?
As of June 2024, there are 3,139 ____ in OCM for ICM.
Facilities
$36.5M is the full run-rate value of the ____ level of efficiencies for ICM.
ICM North Star
The CCR case completion target for MDs (productivity metric) is ____ cases per day.
What is 40 cases per day per MD (~ 800 cases/month).
____ members have been referred to BH CM programs since its launch in Feb-23.
172,511
Of that, 44,159 (25.6%) have been reached and engaged.
Taylor Swift released her debut single "Tim McGraw" in the year _____.
What is 2006?
As of June 2024, 81.7% of ICM cases passed ____ in OCM.
automated validations
44% of PA benefits are derived from this value driver.
automated validations
An average of ____% of UM cases per month were auto-approved in 2023.
What is 34.1%?
For BH Advocacy (Member Provider Services) _____ calls have been completed in OCM since May 2023.
What is 168,000?
____ holds the record for the most Oscar wins.
Who is Walt Disney? 26 total, 22 competitive and 4 honorary.
This single category of ICM volume that remains outstanding is worth 5-6% of total ICM volume.
Out-of-Network
Automated Validations, Automated Routing, Streamlined RN Review and Automated Letter Generation.
What are the 4 major value drivers of the UMM business case?
The target metric for CCR RNs ranges from ____ to ____ cases/day, depending on the case type/LOB.
What is 14-24 cases/day?
For BH Advocacy, _____ calls are completed in <5 minutes, while _____ last +60 minutes.
106,000 (63%) of BH MPS calls are completed in 5 minutes or less. 274 (.002%) calls lasted more than 60 minutes.
The first Apple iPhone was released in the United States in this year.
What is 2007?