Marco Audit enables payers and insurers to verify that the institutions and professionals in their network use updated evidence in their therapeutic decisions, reducing unjustified variability and strengthening medical audit processes.
Some answers to questions we often receive
Marco Audit provides dashboards and periodic reports that allow the payer to visualize guideline adherence across their network, segmented by provider, specialty, and condition.
Yes. Marco Audit can be configured so that each institution or physician in the network has access to their own audit reports, promoting continuous quality improvement.
Marco Audit's clinical adherence reports can be incorporated into the credentialing process as an objective clinical quality indicator, allowing payers to differentiate and prioritize providers with higher levels of evidence-based practice.
Yes. By identifying patterns of therapeutic variability that deviate from the evidence, Marco Audit helps payers focus their quality management programs where they generate the greatest impact.
Yes. Marco Audit can connect via API to benefits management systems, cross-referencing recorded therapeutic decisions with evidence standards to generate real-time alerts on unjustified therapeutic variability.
Yes. By identifying therapeutic practices that deviate from guidelines without documented clinical justification, Marco Audit allows payers to detect and manage spending associated with unjustified variability, contributing to system sustainability.
Payers need to verify that their provider network makes consistent, evidence-based therapeutic decisions, but lack tools to do so systematically.
