Candello Tools

Claims Business Intelligence

Fast, intuitive, self-service dashboards give you a commanding view of exposures, trends, and peers

With a volatile MPL claims and trial environment—fueled by social inflation—data and analytics provide claims leaders and professionals with a powerful lens on the many variables that contribute to the outcome of a case. CRICO and Candello provide a comprehensive suite of Claims Business Intelligence tools to their members who contribute data to the Candello national MPL database.

Built for Claims Leaders, Managers, and Representatives

Candello Discover

Query decades of national MPL data in less than a minute

Reportable events can feel isolating. Candello Discover delivers like cases to illuminate root causes of events like your own so you can assure your board and clinicians, We’re not alone. Here’s how these cases resolved for others.

An intuitive search engine instantly pulling national data to:

• Inform management of adverse events and near misses
• Meet Joint Commission research and action planning requirements for RCAs
• Escalate and prioritize PCEs and claims
• Motivate change in clinical practice patterns based on credible data
• Present to, and teach clinicians, staff and residents
• Provide context around serious reportable events
• Identify national signals of emerging risks that have not affected you … yet.

Built for Risk Managers, Patient Safety Managers, Claims Managers, Clinical Educators

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Candello Compare

Drill into national data for detailed comparisons with peer organizations

Run deep and detailed comparisons of your MPL claims against de-identified peer organizations. Reports include:

• Allegation Count
• Allegation Incurred
• Responsible Service Count
• Responsible Service Incurred
• Clinical Severity
• Case Rate
• Contributing Factors
• Claimant Type
• Indemnity Paid by Close Year
• Expense Paid by Close Year

Candollo Compare enables you to understand and identify relative, role-based risk associated with aggregate and subsets of cases. For example, what percentage of my surgical cases involve post operative management failures, and how often do they have an indemnity payment relative to my specific peers?

Built for MPL and Health System Risk and Safety Managers and Analysts

Candello Explore

Leverage rich analysis of your own data with ease and flexibility

Drill into your own coded cases to understand exposures, trends, and areas of highest risk at a granular level.

Examples of the questions that Explore enables you to answer include:

• Are communication issues in internal medicine similar across our large practice groups?
• Are there resident supervision issues within neurosurgery? How do these issues compare to our other services? Other hospitals in the system?
• Which specialties are we doing a better job with peer-to-peer communication? What can we learn from them?

 Enables executives and analysts alike to ask and answer specific business, financial, and clinical questions with confidence.

Built for MPL and Health System Analysts and Risk and Safety Managers who are comfortable with data

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Similar Claims Search Tool

Enabling claims managers to avoid overpayment when pricing cases for settlement

Allows claims managers to quickly and intuitively reach into their own data to extract “like claims” with similar characteristics as the one they’re managing. Doing so allows the claims manager to price cases for settlement based on the outcomes of many “like claims” to avoid over-payment.

Built for MPL claims managers and leaders