The right data sources are combined to build a meaningful, actionable cohort
What It Does
CareManager Analytics prioritizes risk groups, aligns resources to population needs, and measures performance to drive early interventions within priority patient populations.
Pursuing Delivery System Reform Incentive Payment (DSRIP) Reimbursement
Texas Tech University Health Sciences Center El Paso
$6.5M DSRIP reimbursements | 15% increase in mammography screenings and pneumonia vaccinations
Identify priority cohorts to deliver DSRIP services
EHR lacked analytics and patient registry functionality
Priority cohorts assembled based upon disease state and risk determinants
Assess Population Risk
Patient data from the EHR is constantly refreshed and augmented with third party sources, creating a complete and accurate patient proﬁle.
Calculate population risk using multiple data types (HCC, HRA, hospital, and pharmacy), and create cohorts that align population health with resources, program objectives, and ﬁnancial outcomes.
Segment populations based on risk factors and treatment opportunities, using the latest evidence-based clinical guidelines, integrated into the software.
Rapidly segment the patient population based on condition, current risk, projected risks, demographics, and other parameters, eliminating manual segmentation, and reducing the need for data analysts or IT support.
Assignment to Central
Automatically assign patients to the appropriate clinical or administrative program in CareManager Central Worklist, supporting best practice workﬂows and reducing variations in care.
Issue batch communications for services due, or share a patient-friendly version of the care plan based on selected parameters in the population registry, improving patient understanding and reducing gaps in care.
Payer Contract Reporting
Reporting dashboards surface information on performance in risk-based contracts, including speciﬁc attributes with the greatest potential impact on ﬁnancial success.
Provider Performance Benchmarking
Dashboards give visibility to create success benchmarks and goals based on individual, group, or organizational outcomes.