• Identify the predictive indicators of future costs and use of services
  • Identify the likelihood of admission, readmissions, future medical and pharmacy costs, and care coordination issues
  • Identify both concurrent as well as prospective member/patient risk scores
  • Identify members/patients that have high-care coordination risks and assign appropriate resources
  • Gain insight into the chronic conditions of each member/patient to develop chronic condition management plans and targeted campaigns
  • Match predictive high-cost members and patients with cost-effective providers to improve outcomes