Our mandate to better coordinate and reduce cost of care
Working together to close gaps in healthcare.
For providers, understanding the full scope of patient care needs has been daunting for a number of reasons. There are gaps in processes and a lack of digitized health data among other things. As a result, it’s hard to gather what might have the greatest impact on the population as a whole, as well as on individual patients.
But our approach is different. These are the three areas that make up the population health and clinical integration performance analytics.
Analytics Architecture – built to include claims-based analytics, supplemented by real-time (or near real-time) physician practice EMR data, scheduling data, and hospital ADT information (including non-SWHR hospitals)
Opportunity Analysis – identifying patients that need PHSC support services, including high-risk care management, preventive care, incorporation into disease management programs, referral guidelines, and utilization management programs
Direct Patient Engagement – ability to directly engage patients through personal and automated means to track adherence to care management protocols and provide additional support services
How we support your needs:
We prefer a coordinated approach with an employer through benefit design. This includes requesting claims and pharmacy data for the past two years from an employer group. By using a predictive modeling tool, we can assess individuals with chronic diseases and identify the best Care Management program based on their risk level.