HealthSolve
Get ahead of clinical and family-related affiliate risk.
HealthSolve reviews your population's RIPS, identifies family-related patterns, and estimates which affiliates are at risk before the ER visit. We also map which city and department those problems come from to focus prevention. Risk profiling supports budget planning for your health insurer.
Before HealthSolve
RIPS already held the history, but the EPS could not use it in time
Without HealthSolve, risk management usually looked like this:
- Reactive risk management until after hospitalization
- RIPS were mostly used for billing, not population risk estimation
- Family-related patterns were not used to prioritize affiliates for prevention
- No visibility into which city or department concentrated population problems
- Risk profiling did not reach budget or PGP planning in time
With HealthSolve
HealthSolve changes that picture: it uses RIPS to anticipate clinical and family-related risk, map origin by city and department, profile the population, and feed prevention and EPS budget planning.
How HealthSolve works
RIPS ingestion
Secure connection to EPS sources: flat files, operational database, or data warehouse.
Longitudinal unification
Complete affiliate history: consultations, procedures, medications, ER visits, and hospitalizations.
Clinical and family risk
From RIPS we detect deterioration, history, and family-related patterns, and map which city and department they come from.
Profiling and alerts for the EPS
Population profiling by territory, alerts to Risk Management and prevention teams, and support for budget and PGP planning.
Benefits for your EPS
- Clinical
- Early clinical and family-related risk before acute events
- Territorial
- Problem origin by city and department to focus prevention
- Operational
- Affiliate and cohort prioritization by risk profile and territory
- Financial
- Population profiling to support budget planning and PGP optimization