Health information provider MEDai, Inc., US, part of STM publisher Elsevier, has announced that it is offering a free case study 'Finding Risk Across a Population' on its website that focuses on the use of its leading predictive analytic solution Risk Navigator Clinical and its application to keep costs down and members healthier.
The case study explores how one of MEDai's leading clients incorporates Risk Navigator Clinical in its supervisory workflow by providing the output lists to its support coordinator, who triages the cases to the appropriate case manager. After studying the member's status (including cost impact and risk profile), the case manager develops a care plan, combining and delivering the functions of care coordination in the hands of a single staff member. As case managers continue to intervene in the member care regimens and to update data, they can refer back to Risk Navigator Clinical to confirm a ranking of each member's status.
With Risk Navigator Clinical, MEDai is achieving its goal of helping insurers and healthcare managers to improve clinical outcomes, operational results and financial returns through advanced knowledge. The system bridges the gap between the random and highly individualised nature of member populations and the insight needed for better efficiency, favorable revenues and improved health protection. The solution identifies characteristics and patterns in groups, drilling down to individuals.
As a leading health information company MEDai, Inc. offers solutions for the improvement of healthcare delivery. MEDai has solutions that include severity adjustment (determining the severity of a disease and its affect on the patient's outcome through the analysis of relevant data), benchmarking and evidence-based care processes. Payors and care management organisations use MEDai to predict patients at risk, identify cost drivers for high-risk populations, forecast future health plan costs, evaluate patient patterns over time and improve outcomes.
