This sample report is using fake data for demonstration purpose only. Confidential.

Part A Utilization Management Navigator
MA · Utilization Management
Part A Utilization Management Navigator
See what changed. Understand why. Act on the right drivers. Know whether it worked.
Scope: All Markets · All MA · Jul 2026
Facility comparisons are embedded directly in the reason tree with cost per stay / day so leaders can spot site-of-care price variation without adding more filters.
+$38Part A PMPM

Reason Tree · Click any driver to investigate

Worsened utilizationImproved utilization

Part A PMPM increase

Total Part A PMPM rose from $420 to $458. Start with the decomposition to distinguish volume, unit cost, and case mix.

6-month persistence

FebMarAprMayJunJul
Financial decomposition
3active interventions
Close the loop: The same drivers identified in the Navigator are converted into owned interventions. This page monitors whether the target population was identified, work was executed, and utilization outcomes improved.
Current cycle
Jul 2026

Intervention Portfolio

Click a row for execution detail
InterventionTargetOpportunityOwnerExecutionOutcome

Portfolio Summary

336

members / cases targeted

$16.2

PMPM opportunity

64%

workflow completed

3 / 4

showing improvement

Sample data for prototype demonstration only.

Rapid post-ED scheduling

CHF/COPD members with ED use and no timely PCP follow-up
Improving
Execution funnel
Outcome monitoring
Members needing next action