The industry’s largest volume of primary source data informs population health insights and drives strategy for health plans nationwide. With the ability to stratify sub-populations according to their risk profile and level of resource utilization, health plans can gain data-driven insights to inform quality improvement initiatives.
Obtain population mix insights by segmenting according to chronic conditions, risk level, mental health, and surgical- and obstetric-related aspects. Measure disease prevalence and risk profile to forecast healthcare utilization and cost risk.
- Get a Holistic View of Members and Their Care
Evaluate prevalence of member disease by SDOH factors to identify population segments requiring attention.
- Enhance Financial Performance with Analytics
Segment member populations to obtain insights and compare against national and regional benchmarks. Measure disease prevalence and risk profiles to forecast expected healthcare utilization and cost.
- Allocate Resources Where They Have The Biggest Impact
Analyze the number of members by condition residing in rural versus urban areas and the volume of managed populations with specific diagnoses in certain counties.
- Inform Quality Improvement Initiatives
Perform rapid segmentation of your member population to target patients for intervention. Gain easy access to member and provider contact info, utilization profile, and other details.