Clinical decision-making is a daily occurrence in healthcare. From diagnosing patients to determining the best next steps for care management, clinical decision-making affects patients’ health as well as healthcare provider organizations’ risks and costs. What if you could improve your decision-making? Artificial intelligence (AI) enabled tools make that a possibility, giving you valuable insights and read more…
How To Make Predictions at the Claim Level for Your ACO Population
Risk adjustment is crucial for identifying high-risk patients and predicting costs, especially for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP). Do you know what your ACO population will cost you next month? Best guesses are still just guesses and don’t provide the level of accuracy your organization needs. Lumiata solves read more…
Using Predictive Analytics for Preventive Care
More and more, consumers are demanding proactive, personalized, and preventive care, which is central to their needs. As WellCare becomes more prevalent across the industry, it poses a threat to your business. If patients can’t get WellCare, they may end up in the ER, which also poses a threat to the wallet. Want to take read more…