The daunting challenges facing the healthcare industry today make for compelling arguments to expand the role of analytics. Advanced analytics can help healthcare organizations harness “big data” to create actionable insights to improve outcomes, reduce costs and improve the patient experience. As healthcare moves from a volume-based business to a value-based business healthcare providers and payers are under pressure to deliver better outcomes. Analytics holds tremendous promise for improving the healthcare system in the United States.
d-Wise has expertise with advanced modeling techniques (predictive modeling, data mining, forecasting, etc.) and experience developing and deploying models that can help payor and provider organizations better control costs, outcomes and risks for your organization. A few examples of areas where we have expertise:
Cost reduction for hospitals – predicting patients likely to have multiple visits to the ED or reducing the likelihood of a 30-day readmit
Accountable Care Organizations (ACOs) ‐ The landscape for Accountable Care Organizations (ACO) is changing since the announcement of the CMS participants. While private ACOs still dominate the market, their growth is dwarfed by the recent debut of public ACOs. Both public and private efforts have yielded a large number of ACOs currently in developmental and pilot stages. Hospital/physician groups and commercial payers appear to be the primary forces behind this growth, and partnerships between these two stakeholder groups are common. ACO growth is concentrated in metropolitan areas across the country, especially in the Northeast and West.
With the ACO movement sustaining its strength, Hospital groups, physician groups, and commercial payers are typically the most commonly reported ACO participants with many partnerships common.
ACO Minder - At this critical juncture in health care reform, with payment transformation moving from theory to reality, the opportunity and need to gain visibility and control have never been greater. Salient's ACO Minder, designed for use at every level of the organization, provides clinicians and care managers the data they need to coordinate patient care for better outcomes while facilitating managerial vigilance over performance against ACO incentive goals. A formal partnership coupling ACO Minder with d-Wise's domain expertise in healthcare and over a decade of assessment and implementation expertise in healthcare and life science solutions, both companies offer a turnkey solution for ACO reporting.