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Rising Risk: More than just a Risk Scoring Solution

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Identify & Manage Complex Care Patients with a Common Sense, Post-Discharge Workflow

Patients with multiple severe and significant chronic conditions have an elevated risk of high-cost care setting admissions and account for approximately 50% of total care spend for ACOs and health plans. Care coordinators must often wait 60-90 days for claims data to identify and manage the high-risk patient population, resulting in delayed care opportunities, increased operational costs, and poor outcomes for high-risk patients. 

Rising Risk, a feature of our Pings solution, helps providers identify emerging high-risk and multi-visit patients in real time and offers a workflow to better manage their care and costs.

     

How does it work?

Using our unique, real-time data, we will offer an end-to-end solution that identifies high-risk and rising risk patients for targeted post-discharge follow-up and outreach.

  • Identify your rising risk cohort in near real-time 
  • Conduct targeted post-discharge outreach to successfully enroll patients in care management programs and get them the follow-up they need 
  • Improve patient outcomes for your rising risk cohort while achieving significant cost savings 

Client Example:

One of our large hospital system clients that consists of 22 hospitals with ~140 active patients uses Rising Risk to concentrate on multi-visit patients (MVPs). By doing so, they were able to:

      • Find the ~600 patients that accounted for 90% of readmissions and a large percentage of total spend
        • Conduct timely follow-up and care management
            • Reduced bill charges for MVPs by 51%
                • Which translates to $77.5M in savings in one year and >$100K per patient per year.