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uniquely integrate predictive analytics with impactful, holistic service pathways designed specifically for Duals members. By lowering costs, elevating service quality, and improving health outcomes, we empower MCOs to make the most of their HCBS spending.
Our approach ensures that resources are strategically allocated, going beyond just personal care services to address the diverse and unique needs of every member, driving meaningful impact and sustainable success
By integrating a human-in-the-loop model, we continuously refine our machine learning algorithms, allowing our solutions to get smarter and more effective over time.
uniquely integrate predictive analytics with impactful, holistic service pathways designed specifically for Duals members. By lowering costs, elevating service quality, and improving health outcomes, we empower MCOs to make the most of their HCBS spending.
Our approach ensures that resources are strategically allocated, going beyond just personal care services to address the diverse and unique needs of every member, driving meaningful impact and sustainable success
By integrating a human-in-the-loop model, we continuously refine our machine learning algorithms, allowing our solutions to get smarter and more effective over time.
Identifies members with inefficient medical and HCBS utilization to create optimized care plans that reduce costs
Detects members at risk of needing nursing facility care soon, enabling proactive interventions
Pinpoints members that newly meet nursing facility level of care (NF LOC) and recommends optimal service plans
Our analytics uncover population-level trends and the optimal service mix for HCBS. Data from the analytics and
care management are fed back into the algorithm in order to continuously improve the model and intervene earlier
with rising risk populations.
Patterns allow us to
systematically & efficiently
create evidence based,
person centered care plans
Member and family are aware of and able to access all available resources that support overall well-being.
Ensure self-determination, independence, empowerment, and full inclusion of members with disabilities and older adults in all parts of society.
Achieve a more equitable balance between spending and utilization in home and community-based settings relative to institutional care.
By combining indicators into a single HCBS risk score, care teams gain greater insight into complex needs of the Duals population, rather than relying on traditional risk scores, and manage resources more appropriately. We then measure impact at a risk-category level to continuously track efficacy, improve our interventions and, ultimately, discern greater value.
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