Solution Analyzes Patient Risk, Care Opportunities and Provider Performance
to Increase Effectiveness of Member Care Management Programs
BIRMINGHAM, Ala., Oct. 29 /PRNewswire/ -- DST Health Solutions today announced the launch of CareAnalyzer(TM), an analytic solution that combines elements of patient risk (The Johns Hopkins University ACG(R) Predictive Models), care opportunities (HEDIS(R)) and provider performance (NCQA's pay for performance program). CareAnalyzer helps health plans meet reporting requirements for the Healthcare Effectiveness Data and Information Set (HEDIS) and effectively identify high-risk members for care management.
CareAnalyzer has been selected by a number of health plans, including CareOregon and FirstCarolinaCare Insurance Company.
"CareAnalyzer combines a variety of data sources to produce actionable information health plans can use to improve the health of their members," said Steve Sabino, president of DST Health Solutions.
By analyzing patient risk data, predictive modeling and HEDIS requirements, CareAnalyzer helps health plans identify high-risk members with chronic conditions such as diabetes, asthma or lower back pain. High-risk members then may be enrolled in care management programs that include preventive health screenings and treatment plans tailored to their condition.
"CareAnalyzer helps us identify members who need care management and intervention, which improves health outcomes and will ultimately save employers premium dollars down the road," said Craig Humphrey, chief operating officer of FirstCarolinaCare. "This tool also allowed us to automate HEDIS reporting, and reduce the staff time needed for this function."
CareAnalyzer incorporates the ACG System, a scientifically proven software tool for provider profiling, predictive modeling, resource management, and reimbursement rate adjustment. The ACG System was developed by The Johns Hopkins University Bloomberg School of Public Health, and is distributed exclusively by DST Health Solutions.
About DST Health Solutions
DST Health Solutions delivers solutions and business process outsourcing services that improve efficiency, reduce operational costs, increase speed to market and improve customer service for health plans, consumer-directed plans, government plans (Medicare Advantage/Part D and Medicaid) and physician practices. DST Health Solutions' enterprise applications, and ASP and BPO services support 390 healthcare clients, representing more than 38 million covered lives, 360 million health plan claims, 35 million physician business transactions and 700,000 consumer-directed members annually. For more information about DST Health Solutions, contact 800.272.4799 or email@example.com or visit http://www.dsthealthsolutions.com.
The information and comments above may include forward-looking statements respecting DST and its businesses. Such information and comments are based on DST's views as of today, and actual actions or results could differ. There could be a number of factors affecting future actions or results, including those set forth in DST's latest periodic financial report (Form 10-K or 10-Q) filed with the Securities and Exchange Commission. All such factors should be considered in evaluating any forward-looking comment. The Company will not update any forward-looking statements in this press release to reflect future events.
|SOURCE DST Health Solutions|
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