Measurable Impact
ConcertoCare’s innovative population health analytics, powered by MedeAnalytics, substantially reduced hospitalization rates below the national averages for its Medicare patients.
The story behind the numbers...
The Challenge
ConcertoCare (previously called Concerto Health) came to MedeAnalytics with a few central business objectives:
- Address vulnerable populations
- Reduce hospitalizations for target groups
- Segment population groups for effective care management.
They also had big goals for growing analytics and reporting capabilities, including determining "impactable" populations for interventions, aggregating data for patient stratification and cost analysis, and obtaining actionable insights about vulnerable patient populations.
About ConcertoCare:
- Leading, risk-bearing provider of field-based complex care for vulnerable populations
- Delivers high-touch, individualized care
- Uses predictive analytics to identify high-risk and rising-risk patients for in-home care delivery
- Addresses the social determinants of health, including transportation, social isolation, cognitive impairment, behavioral health and palliative care
- Headquartered in Aliso Viejo, CA
“As a risk-bearing provider organization, we’ve had to evolve our care model and analyze data in such a way that we could be responsible for full global risk.”
Brian Davis
Senior Vice President, Clinical Operations
The Solution
MedeAnalytics’ Population Health solution enables ConcertoCare to stratify risk and to assess cost and utilization patterns in the population to identify appropriate areas for intervention. More specifically, they:
- Use predictive analytics to impact the most complex 5% of the population and address rising risk in up to 20% of the population.
- Proactively look at Cost and Utilization patterns to identify and prioritize care and interventions for the patients who are the most vulnerable and most at risk.
- Categorize data by assigning Adjusted Clinical Groups (ACGs) to each patient based on morbidity, age and sex.
“We were able to significantly decrease unnecessary utilization for an entire population with MedeAnalytics’ predictive analytics.
The insights allow the ConcertoCare home-based care team to intervene with patients to slow down disease progression and keep them safely out of the hospital, while uniquely addressing their myriad of complex care needs.”
Dr. Chris Dodd M.D.
Chief Clinical Officer
More about ConcertoCare:
article
How predictive analytics can improve patient care and health outcomes — 4 takeaways from ConcertoCare and MedeAnalytics
press release
ConcertoHealth Uses MedeAnalytics Predictive Analytics to Guide Patient Interventions, Generate Savings
webinar playback
Now on demand: ConcertoCare webinar
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