Cost and utilization
Measure paid amounts, encounters, and service volume across consistent time periods.
Enterprise Application
Medical Economics
Turn claims into transparent cost, utilization, and medical expense intelligence your team can act on.
Why Medical Economics
Medical Economics builds on Tuva’s normalized encounters, service categories, eligibility, and financial marts.
Healthcare finance teams need more than totals. They need to understand which services, settings, providers, and populations are driving changes in cost and utilization.
Tuva Medical Economics organizes claims into analysis-ready measures and drill paths inside your warehouse, giving analysts control over definitions while keeping finance and operational teams aligned on the same data foundation.
- Foundation
- Normalized claims, eligibility, encounters, and service categories
- Measures
- PMPM cost and utilization with transparent denominators
- Analysis
- Drill from population trends into services, providers, and members
See the application in action
Inside the application
01 / 03
Move from performance to its drivers
Compare PMPM spend, actual-to-expected performance, and year-over-year change across contracts.
Finance and operations teams can start from the same trusted view of medical expense performance.
Application views
What your team can do
Build a reusable medical expense workflow instead of recreating core claims logic for every analysis.
PMPM analytics
Normalize results to eligible member months for comparable trend and population analysis.
Service mix
Use consistent service categories and encounters to see where spend and utilization are shifting.
Driver analysis
Move from top-line performance into the populations, providers, and events driving change.
How it works
Keep each step inspectable and reusable across finance and value-based care workflows.
- 1
Standardize the claims foundation
Run claims, eligibility, encounters, and service categories through Core Platform.
- 2
Calculate consistent measures
Apply shared definitions for cost, utilization, member months, and service mix.
- 3
Investigate and activate
Publish trusted outputs to dashboards, contract reporting, forecasting, and operational worklists.
Put Medical Economics to work on your data.
Show us the medical expense questions your team is answering today and we’ll map them to a transparent Tuva workflow.