HealthInsights.ai, a Syntelli company, provides data analytics solutions and services tailored to providers, payers, and accountable care organizations in the healthcare industry. Our mission is to enable healthcare leaders to achieve their strategic goals and improve outcomes by unleashing the power of data.

Challenge

Risk Insights is the ideal solution for accountable care organizations, provider groups, and healthcare systems that manage capitated, shared risk, and other value-based arrangements including their own self-insured employees. The solution includes applications that address population health challenges and:

  • Identify patients with chronic conditions, high use of clinical services, and rising risk
  • Evaluate the appropriateness of emergency visits including super users and low acuity visits
  • Provide risk-adjusted practice and physician scorecards and dashboards
  • Help you understand costs and services being referred out of your preferred network
  • Optimize clinical documentation to increase patient risk scoring

Partner Solution

Using TIBCO Spotfire®, Healthinsights.ai's Risk Insights' analytics portfolio enriches claims data using the Johns Hopkins ACG System to inform care management, provide risk-adjusted utilization, and optimize RAF scoring.

Benefits

The Risk Insights solution predicts the likelihood of inpatient admission, readmission, and emergency usage and predicts risk-adjusted medical and pharmacy expenditures. Risk Insights additionally provides the following benefits to the healthcare industry:

  • Identify patients with chronic conditions, high use of clinical services, and rising risk
  • Evaluate the appropriateness of emergency visits including super users and low acuity visits
  • Provide risk-adjusted practice and physician scorecards and dashboards
  • Help you understand costs and services being referred out of your preferred network
  • Optimize clinical documentation to increase patient risk scoring

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Technologies
Analytics
Business Intelligence
Data Science
Industry
Region
North America
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